City of Anniston

CITY OF ANNISTON

PARKS & RECREATION DEPARTMENT

FALLSOCCER

BOYS AND GIRLS AGES 5 – 13

FULL UNIFORM PROVIDED REGISTRATION DEADLINE:

League play begins in September August 14, 2009

6 & UNDER10 & UNDER

8 & UNDER 12 & UNDER

**PLAYER DRAFT AUGUST 22ND**

REGISTRATION FORM

YES, I want to play soccer this season! I understand that the league is based on the enjoyment of the sport of soccer and the sportsmanship and team play that this sport provides.

NAME ______EMAIL ADDRESS______

ADDRESS ______CITY ______ZIP ______

TELEPHONE ( ) ______-______SCHOOL ______

AGE (Prior to Aug 1, 2009) ______DOB ______

Youth

X-Small

Small

Medium

Large

Adult

X-Small

Small

Medium

Large

Shirt Size

Shirt

Size

Short Size

Birth Certificates Required For ALL Participants

I/We the parents of the above named candidate, hereby give my/our approval to his/her participation in anyAnniston Parks & Recreation Department Soccer activities during the current season. I/We assume all risks and hazards, incidental to such participation including transportation to an from the activities; and I/we do hereby waive, release, absolve indemnify and agree to hold harmless the City of Anniston, supervisors, coaches, participants, and persons transporting my child to or from activities for claim arising out of any injury to my child. Your signature below also acknowledges that you have read and agree to abide by the code of ethics listed on the back of this form.

______

Parents or Guardian’s Signature

______I am interested in assisting as a coach, referee, or in some other manner.

REGISTRATION FEE $55 and $50 for each additional child.

For More Information Contact:

Darren Spruill – Athletic Director @ 236-8221

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