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Glen Cove Junior Soccer League
SPRING TINY TOT SEASON 2004


Players born in years 1999, & 98 are eligible to play.
Players eligible that did not play in the fall kindergarten program.
Games on Sunday, April 18 – June 13 (except 5/26)
Fee: $60 dollars
Registration: BY MAIL ONLY.

DEADLINE IS MARCH 22nd



Questions? Call SOCCERPHONE 676-3466
Detach form below and return in envelope
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REGISTRATION FOR Spring 2004 INTRAMURAL SEASON

Glen Cove Junior Soccer League
PMB 126
5 Brewster Street
Glen Cove, NY 11542

PLAYERS REGISTERED IN ANY TRAVEL PROGRAM ARE PROHIBITED FROM PLAYING IN THE GCJSL INTRAMURAL PROGRAM

Player’s name___________________________
Address__________________________________
Phone:________________________________
Date of Birth_________________________

Is your child covered under a health insurance program?    Y or N
Circle one, Thanks.
I/we the parents of the named child understands that in participating in a sport there is some risk involved. Therefore by signing this registration authorization, I recognize that this element of risk exists and agree that in the event of injury to my child, the Glen Cove Junior Soccer League shall bear no liability except in case of gross negligence.

Signature__________________Date________

Fee: $60.00 dollars per child.
Make checks payable to
Glen Cove Junior Soccer
Return this form with your check in the enclosed envelope.
(Website Application)