Glen Cove Junior Soccer League

2004 Fall Late Registration

 

 

Fall 2004 Late Registration for Glen Cove Soccer. Registration rates listed below.

 

Final Registration.

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LATE REGISTRATION FOR FALL 2004 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: ______

VOLUNTEERS NEEDED!

Fee:

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

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

$55 Each Kindergarten Program (no late fee) Coach:______ Asst. Coach:_______

FALL SPONSORSHIPS

__ TEAM SPONSORSHIP $250 Sponsors Name: __________________

__ GOLD SPONSORSHIP $325 Address: __________________

__________________

*Details listed on reverse side. Phone # __________________

Contact Person: __________________

 

 

This registration form has been subject to a $10.00 Late Fee. This is a final registration

 

 

 

Fall Sponsorships

 

 

Team Sponsorship- Your Company name on your team’s uniform

Your Company name on the parade banner

A photo of your team

A commemorative plaque acknowledging your generosity.

 

Gold Sponsorship- Your Company name on your team’s uniform

Your Company name on the parade banner

A photo of your team

A commemorative plaque acknowledging your generosity.

**** Coaches jacket for your teams head coach with your

Company name.

 

Additional Jackets can be purchased for $75.00

 

Number of additional jackets:

 

Sizes: