Tass Mid Summer Madness Registration Form 2013 AWS
T.A.S.S. SOCCER
Mid-Summer Madness Tourament 2013 Registration Form Team Name: _______________________________________ Division: ____________________________________________ * Coach/Supervisor Name: ___________________________ * Contact Phone Number: ___________________________ * Contact e-mail ____________________________________ Roster: 1 _______________________ 2 _______________________ 3 _______________________ 4 _______________________ 5 _______________________ 6 _______________________ 7 _______________________ 8 _______________________ 9 _______________________
10 ______________________ 11 _______________________ 12 ______________________ 13 ______________________ 14 ______________________ 15 ______________________ 16 ______________________ 17 ______________________ 18 ______________________
Goalie Name: _______________________________________ Make checks payable to: Tass Soccer of Northeastern PA Mail Registration form and check to: Gerry Linn PO Box 465, Waymart, PA 18472
All players must receive a Tournament number. Please stop at registration table for labels. *ALL CONTACT INFORMATION MUST BE COMPLETED
Mid-Summer Madness Tourament 2013 Registration Form Team Name: _______________________________________ Division: ____________________________________________ * Coach/Supervisor Name: ___________________________ * Contact Phone Number: ___________________________ * Contact e-mail ____________________________________ Roster: 1 _______________________ 2 _______________________ 3 _______________________ 4 _______________________ 5 _______________________ 6 _______________________ 7 _______________________ 8 _______________________ 9 _______________________
10 ______________________ 11 _______________________ 12 ______________________ 13 ______________________ 14 ______________________ 15 ______________________ 16 ______________________ 17 ______________________ 18 ______________________
Goalie Name: _______________________________________ Make checks payable to: Tass Soccer of Northeastern PA Mail Registration form and check to: Gerry Linn PO Box 465, Waymart, PA 18472
All players must receive a Tournament number. Please stop at registration table for labels. *ALL CONTACT INFORMATION MUST BE COMPLETED
