tiny tot & mighty mite league AWS
TINY TOT & MIGHTY MITE LEAGUE 2018 NIS INDIVIDUAL REGISTRATION FORM Player Information Name:
Sex:
Girl
Boy
Address:
Age:
(as of December 31, 2018)
Birth Date: Parent Information Name:
Name:
Phone:
Phone:
E-mail:
E-mail:
Shirt Size (youth):
Small
Medium
Check All That Apply
($87.00)
Tiny Tot Intermediate Mighty Mites
($87.00) ($87.00)
Player: Player: OFFICE USE ONLY
Please make your checks payable to “NIS” Amount enclosed $
XL
Requests Special requests in these leagues generally can be accommodated as long as the requested players are registered for the same level.
Leagues Tiny Tot Beginner
Large
*
Date received:
Cash
Check no.
*includes fee for following players: Registrations received after January 27, 2018 will be considered late and the following apply: LATE FEE of $10.00 will be charged (PLEASE INCLUDE WITH PAYMENT) – NO EXCEPTIONS Special requests will not be considered For each RETURNED CHECK a fee of $30.00 will be charged Volunteers Needed
Coach/Assistant
Name:
INDOOR SOCCER RELEASE In consideration of your accepting this registration, I hereby for myself, heirs, executors and administrators, waive and release any and all rights and claims for damages I or my child may have against the Anoka Area Ice Arena, North Indoor Soccer, their representatives, successors, assignors any and all persons associated with the 2018 indoor season for any and all injuries suffered by me or my child while participating or spectating at or in the indoor soccer program. Parent/Guardian
_______________________________ signature
print name
RETURN TO: STEVE NASH, 14500 BOWERS DRIVE NW, ANOKA, MN 55303
.
Sex:
Girl
Boy
Address:
Age:
(as of December 31, 2018)
Birth Date: Parent Information Name:
Name:
Phone:
Phone:
E-mail:
E-mail:
Shirt Size (youth):
Small
Medium
Check All That Apply
($87.00)
Tiny Tot Intermediate Mighty Mites
($87.00) ($87.00)
Player: Player: OFFICE USE ONLY
Please make your checks payable to “NIS” Amount enclosed $
XL
Requests Special requests in these leagues generally can be accommodated as long as the requested players are registered for the same level.
Leagues Tiny Tot Beginner
Large
*
Date received:
Cash
Check no.
*includes fee for following players: Registrations received after January 27, 2018 will be considered late and the following apply: LATE FEE of $10.00 will be charged (PLEASE INCLUDE WITH PAYMENT) – NO EXCEPTIONS Special requests will not be considered For each RETURNED CHECK a fee of $30.00 will be charged Volunteers Needed
Coach/Assistant
Name:
INDOOR SOCCER RELEASE In consideration of your accepting this registration, I hereby for myself, heirs, executors and administrators, waive and release any and all rights and claims for damages I or my child may have against the Anoka Area Ice Arena, North Indoor Soccer, their representatives, successors, assignors any and all persons associated with the 2018 indoor season for any and all injuries suffered by me or my child while participating or spectating at or in the indoor soccer program. Parent/Guardian
_______________________________ signature
print name
RETURN TO: STEVE NASH, 14500 BOWERS DRIVE NW, ANOKA, MN 55303
.
