Glen Cove Junior Soccer League

 2005 Fall Registration

 

 

Fall 2005 Registration for Glen Cove Soccer. Registration rates listed below.

 

REGISTRATION CLOSES JULY 1, 2005.

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REGISTRATION FOR FALL 2005 INTRAMURAL SEASON

                                                                       

Glen Cove Junior Soccer League                                      I/we the parents of the named child understand that in  

PMB 126                                                                               participating in a sport there is some risk involved. Therefore

5 Brewster Street                                                                  by signing this registration authorization, I recognize that this

Glen Cove, NY 11542                                                           element of risk exists and agree that in the event of injury

PLAYERS REGISTERED IN ANY TRAVEL PROGRAM ARE                to my child, the Glen Cove Junior Soccer League shall bear

PROHIBITED FROM PLAYING IN THE GCJSL INTRAMURAL             no liability except in case of gross negligence.

PROGRAM.                                                                                 

                                                                                                Signature__________________Date________

Player’s name:______________________

Address:___________________________                    Make checks payable to:             _________________________________                      Glen Cove Junior Soccer

Phone: ___________________                                        Return this form with your payment.

Date of Birth:____/_____/_____   Sex:   M    F                           

School Grade Entering: ______

Uniform size:________                                                                   

                                                                                                            VOLUNTEERS NEEDED!

Fee:                                                                                                   

$75 Each for the first two children in the same family.                  Name:_______________________

$65 Each additional child in the same family.                               Phone:_______________________

$65 Each Kindergarten Program    (no late fee)                            Coach:______ Asst. Coach:_______

                                                                                                           

FALL SPONSORSHIPS

                                                           

__ TEAM SPONSORSHIP              $300                           Sponsors Name: __________________

                                                                                                Contact Person: __________________

 

 

Registration received after July 1 will be subject to a $10.00 Late Fee. No registrations accepted after August 1, 2005.