WE WILL BE PLAYING SOCCER THIS YEAR AT OUR NEW FIELDS
ON INLET ROAD, Dont forget to check
out our website @: www.eteamz.com/clays and our e-mail
is: clyouthsoccer@hotmail.com MAILING ADDRESS: P.O. REGISTRATION DATES: SATURDAY, APRIL 26, 2008
AND SATURDAY, MAY 3, 2008 9:00AM
TO NOON @ CONNEAUT NO REGISTRATIONS WILL BE TAKEN AFTER MAY 3, 2008!!!!! (forms
can be mailed, BUT MUST BE postmarked BY MAY 3, 2008 OR you can contact any
of the officers and deliver them to their homes anytime after noon May 3,
2008. But no forms will be accepted
on Sunday, May 4, 2008 or after. Jim Tomko
814-382-5042, Brian Kebort 814-382-0769 or Robin
Thurber 814-795-7647) REGISTRATION FEE: PLEASE
MAKE CHECKS PAYABLE TO : CLAYS $30.00/1 CHILD ~ $55.00/2 CHILDREN ~
$80.00/3+ CHILDREN IN SAME FAMILY In the event of
financial hardship, please contact Robin Thurber @ 814-795-7647 Players
Name: Male/Female _____ Phone Number: Street
Address:
E-mail Address:_______________________________
City: State: Zip: School: Date
of birth: Age as of 7/31/08:
Emergency Contact Number: Name
of family hospitalization plan: Participation
in soccer requires the ability to run and kick the ball. Additionally, participation requires the
capacity to under the rules of the game.
~Does your child have any current
conditions that limit his/her ability to participate in this activity? Circle
YES or NO. If yes,
please explain and identify any modification(s) that would enable your
child to participate: . Please
provide information about allergies or medical conditions that the team should
have in case of any emergency: I/WE, the
parent(s)/guardian(s) of the above mentioned candidate for a position on a
soccer team, hereby give my/our approval to participate in any and all
soccer league activities, including transportation to and from the
activities. I understand that
the Association provides NO INSURANCE and I/WE must provide
our own. I/WE know that the
participation in soccer may result in serious injuries and protective
equipment (SHIN GUARDS AND SOCCER SHOES) does not prevent all
injuries to players and do hereby waive, release, absolve, indemnify and
agree to hold harmless the Conneaut Lake Area Youth Soccer League, the
organizers, sponsors, participants and the persons transporting MY/OUR
child(ren) to and from activities from any claim
arising out of any injury to MY/OUR child(ren)
whether the result of negligence or any other reason. Parent/Guardian
Signature Date Place
of Employment
Work Phone Number: BEFORE
CHOOSING SHIRT SIZE, PLEASE LOOK AT SAMPLES! CIRCLE SIZE Paid:
Cash Check
SHIN GUARDS AND SOCCER SHOES
MANDATORY
Shirt Size:
YOUTH S M L ADULT
S M L X 2XL
Soccer League Use ONLY