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Glen Cove Junior Soccer League
FALL INTRAMURAL SEASON 2003


Players born in years 1997, 96, 95,94 & 8/1/93 or later are
eligible to play. 1998 eligible who played in the fall kindergarten program.
Games on Sunday, April 13 – June 15 (except 4/20 & 5/26)
Fee: $50. dollars
Registration: BY MAIL ONLY.

Deadline is March 22nd



Questions? Call SOCCERPHONE 676-3466
Detach form below and return in envelope
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - REGISTRATION FOR Spring 2003 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: $50.00 dollars per child.
Make checks payable to
Glen Cove Junior Soccer
Return this form with your check in the enclosed envelope.
VOLUNTEER COACH!

Name_______________ Phone______________
(Website Application)