Soccer Registration Flyer for 1998
2018 INDOOR SOCCER www.lowersouthsoccer.com All games will be played Friday evenings at Sportplex, 1331 O’Reilly Dr., Feasterville 7 week season from January 19, 2018 – March 2, 2018
COST: $45.00/PER PLAYER Boys and Girls Age: 4 – 12 yrs (born 2005-2013) Time is limited, so space is also limited. Registration deadline January 12th, or when space is full. Send in promptly to secure a spot. For more information, e-mail: [email protected] Indoor soccer is just games. No practices. Players will be notified via email a few days prior to first game of the season. Teams will be co-ed. Playing field is a rink-style court with sport court floor. Sneakers or flats and shinpads must be worn. No cleats allowed. Games will be approx. 25 minutes long and will start promptly. Tentative playing times: 4-5 year olds (Micros) - 5:30-6:00PM 6-9 year olds- 6:00-6:30PM 10-12 year olds- 6:30-7:00PM
Volunteers are needed as coaches for all age groups.
2018 INDOOR SOCCER REGISTRATION First and Last Name
M/F
DOB
Age
Child #1
____________________________
____
____________
______________
Child #2
____________________________
____
____________
______________
Child #3
____________________________
____
____________
______________
PARENT(S) NAME_______________________________________ e-mail_________________ ADDRESS________________________________________
PHONE____________________
TOWN__________________________ ZIP___________ _______ Check if interested in coaching
_____ Check if you played LSAA Fall 2017
Please complete the form and send with check or money order for full payment to: LSAA Soccer 36 Jay Street Feasterville, PA 19053
Release Statement NOTE: The statement should be signed by parent/guardian for minor player; I, the parent/guardian of the registrant, a minor, agree that I and the registrant will abide by the rules of the Eastern Pennsylvania Youth Soccer Association (EPYSA), the Lower Southampton Athletic Association (LSAA), and Lower Southampton Township, their affiliated organizations and sponsors. Recognizing the possibility of physical injury associated with soccer and in consideration for the EPYSA, the LSAA, and Lower Southampton Township accepting the registrant for its soccer programs and activities (the "Programs"), I hereby release, discharge, and/or otherwise indemnify the EPYSA, the LSAA, and Lower Southampton Township, their affiliated organizations and sponsors, their employees and associated personnel, including owners of the facility utilized for the Programs, against any claim by or on behalf of the registrant as a result of the registrant's participation in the Programs. PARENT/GUARDIAN SIGNATURE_____________________________________________DATE ______________
COST: $45.00/PER PLAYER Boys and Girls Age: 4 – 12 yrs (born 2005-2013) Time is limited, so space is also limited. Registration deadline January 12th, or when space is full. Send in promptly to secure a spot. For more information, e-mail: [email protected] Indoor soccer is just games. No practices. Players will be notified via email a few days prior to first game of the season. Teams will be co-ed. Playing field is a rink-style court with sport court floor. Sneakers or flats and shinpads must be worn. No cleats allowed. Games will be approx. 25 minutes long and will start promptly. Tentative playing times: 4-5 year olds (Micros) - 5:30-6:00PM 6-9 year olds- 6:00-6:30PM 10-12 year olds- 6:30-7:00PM
Volunteers are needed as coaches for all age groups.
2018 INDOOR SOCCER REGISTRATION First and Last Name
M/F
DOB
Age
Child #1
____________________________
____
____________
______________
Child #2
____________________________
____
____________
______________
Child #3
____________________________
____
____________
______________
PARENT(S) NAME_______________________________________ e-mail_________________ ADDRESS________________________________________
PHONE____________________
TOWN__________________________ ZIP___________ _______ Check if interested in coaching
_____ Check if you played LSAA Fall 2017
Please complete the form and send with check or money order for full payment to: LSAA Soccer 36 Jay Street Feasterville, PA 19053
Release Statement NOTE: The statement should be signed by parent/guardian for minor player; I, the parent/guardian of the registrant, a minor, agree that I and the registrant will abide by the rules of the Eastern Pennsylvania Youth Soccer Association (EPYSA), the Lower Southampton Athletic Association (LSAA), and Lower Southampton Township, their affiliated organizations and sponsors. Recognizing the possibility of physical injury associated with soccer and in consideration for the EPYSA, the LSAA, and Lower Southampton Township accepting the registrant for its soccer programs and activities (the "Programs"), I hereby release, discharge, and/or otherwise indemnify the EPYSA, the LSAA, and Lower Southampton Township, their affiliated organizations and sponsors, their employees and associated personnel, including owners of the facility utilized for the Programs, against any claim by or on behalf of the registrant as a result of the registrant's participation in the Programs. PARENT/GUARDIAN SIGNATURE_____________________________________________DATE ______________
