Munford Parks & Recreation
Soccer Registration Form
Child's Last Name:____________________
First Name:____________________
MI:_____
Street:_______________________________________________________
Town:__________________State:__________Zip:___________
Phone:________
Sex:____
Birth:_______
Age:____
Grade:___
School:_______________
| Parents: |
Last_____________ |
First_____________ |
Phone:____________ |
|
Last_____________ |
First_____________ |
Phone:____________ |
Coach:________
Assistant Coach____________
Referee__________
(Please See Coach/Referee Form)
Doctor:________________
Phone:_________________
Notes:__________________________
Emergency:____________________
Phone:______________
Jersey Size:
YS(6-8)___
YM(10-12)___
YL(14-16)___
AS___
AM___
AL___
XL___
XXL___
Amtdue:______
Amtpaid______
Cash______
Check______
Check#______
Sibling in League? Yes _____ (Please Fill Out Separate form for each child)
It's Soccer Time in Munford!!! Once again we are striving to provide a Recreational Ball
League for individuals to participate.
Cost is $40 for the first player and $30 for each addional sibling in the same
household. (Late registration will be charged an additional $20).
WE CAN'T HONOR ANY SPECIAL REQUESTS (TRANSPORTATION, FRIENDS, ETC).
This form can
also be found on our website www.munford.com, printed and mailed with payment to:
Munford Park & Rec. Soccer League 63 College St., Munford TN 38058.
In Consideration of your accepting my child's entry, I hereby waive and release
The City of Munford for any injuries or damages I or my child may incur.
If interested in Coaching/Referee.... Please fill out the Coach/Referee Form.
Signature_____________________________
Date________________________