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Travel Team Application


Name (First, Middle, Last)
Street Address:
City:
State:
Zip Code:
Team Age Group*:
Sex:
 Female Male
Age:
Date of Birth: (Mo./Day/Year)
Position:
School Attending:
E-mail Address:
Parent(s)/guardians Name(s):
Parent(s) T-shirt size
Phone (Home) (include area code)
Phone (Work)
Cell Phone
Player T-Shirt Size (youth or adult)
Player Shorts Size
Player Shoe Size
INSURANCE INFORMATION
  
Group
Number
Local Doctor/Hospital

 

PARENT VOLUNTEER PREFERENCE ( MANDATORY)
COACH
PHOTOGRAPHY
REFEREE
WRITING
SCORING
TRANSPORT
TIMEKEEPER
FIELD MARSHALL
REGISTRATION
ADMINISTRATION
FUNDRAISING
MEDICAL
PUBLIC RELATIONS

 

I, agree to hold harmless the organization and directors of the Freeze FC for any actions resulting from our participation in the soccer training, coaching, travel and other general activities of the club.

 

*Age demarcations for team play:
U-8 = ages 6, 7 and 8 - must not turn 9 on or before August 1, 2007
U-10 = ages 9 and 10 - must not turn 10 on or before August 1, 2007
U-12 = ages 11 and 12 - must not turn 12 on or before August 1, 2007
U-14 = ages 13 and 14 - must not turn 14 on or before August 1, 2007
U-16 = ages 15 and 16 - must not turn 16 on or before August 1, 2007
U-18 = ages 17 and 18 - must not turn 18 on or before August 1, 2007

 
Contact: Bob Durocher, Head Men's Soccer Coach, St. Lawrence University, Augsbury Center, Canton, NY, 13617 Phone: (315) 229-5870 E-mail: bdur@stlawu.edu