Saint Cecilia Elementary School
  

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#:

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