The last day to sign up for spring soccer is Friday FEB 12th.
St. Cecilia Sports Program 2010
Spring Soccer Registration Form
Soccer Registration will be Tues JAN 5th & 12th
. 2010 6:30-8:00PM. Please mail form postmarked no later than Feb 12 th. Mail to: Darrin McCaffrey
4972 Open Meadow Dr., Independence,KY 41051.
| Last Name:
First Name:
Phone: |
| Street Address:
City:
St: Zip:
|
| Birth Date: /
/ Sex:
Prior Coach:
email:Player
School:
Last
5 Digits SSN#: |
Yes, I am interested in helping in the following areas: (circle)
Coach
Asst. Coach
Referee
Field Lining Administration
Email:
Phone:
Please note: All new players will
be randomly assigned to a team, per league rules. It is a privilege, not a right to move up a division.
Circle One
U8
U10
U12
U14
U16
August 1,2001
August 1,1999
August 1,1997 August 1,1995
August 1,1993
July
30, 2003
July 31,2001 July
31,1999 July
31,1997 July
31,1995
I,The parent/guardian of the above named player,
a minor, agree that I and the player will abide by
the Rules and regulations of the soccer league, the
affliated organizations, and it’s sponsors. In consideration of the player’s participation in the soccer programs and activities of the soccer league
parties I, for myself
and the player and our respective heirs, administrators
and successors, intending to be legally bound, hereby release and indemnify
the soccer league parties, the owners and operators, employees,
agents and representatives from against all claims,
liabilities, damages or causes of action
arising out of or in connection with the players participation in the programs. I also understand that this is a recreational soccer league
and unsportsmanlike
conduct will not be tolerated from the players or parents.
Coaches will have the right to dismiss a player from the team for offensive
behavior at practice or a game.
U8-U16- $75 per player
-Check if new player: $30 new uniform PREPAID (if needed).
Family rate-$150 (includes U6)Late fee-$10 per player
(After: Tuesday th).
Hardship cases: (Contact:Darrin McCaffrey (895)363-1617. Select players: $85
Make Checks Payable to:St. Cecilia Sports Program
Mother’s Name:
Father’s Name:
Sports
Program Use Only----do not write below this line---Date:
Time:
Birth Certificate:
Amount paid:
Chk#: