Last Fall 2003 Registration for Glen Cove Jr. Soccer. Late Registration rates listed Below.

REGISTRATION CLOSES AUGUST 01, 2003

Detach form below and return in envelope
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REGISTRATION FOR Fall 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____/____/_____   Sex       M      F FEE: $70.00 Each for the first two children in the same family. $60.00 Each additional child in the same family $50.00 Each Kindergarten Program (no late fee) FALL SPONSORSHIPS TEAM SPONSORSHIP       $250.00 GOLD SPONSORSHIP      $325.00

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________ Make checks payable to Glen Cove Junior Soccer Return this form with your check in the enclosed envelope. VOLUNTEERS NEEDED! Name_______________ Phone_______________ Coach________Asst. Coach_______ Work on club committees_________