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5V5 2008 SUMMER SHOOTOUT
TEAM REGISTRATION
TEAM INFORMATION
YOUTH
(proof of age must be presented at the registration desk)
Team Name
Division Desired:
Boy's
(choose one): U-6
U-8
U-10
U-12
U-15
U-18
Gir's
(choose one): U-8
U-10
U-12
U-15
U-18
Please type your roster here (max 8):
1
DOB:
5
DOB:
2
DOB:
6
DOB:
3
DOB:
7
DOB:
4
DOB:
8
DOB:
*
We reserve the right to edit team names.
ADULTS
(proof of age must be presented at the registration desk)
Choose One
Men's Open
Men's 30-UP
Women's Open
Team Name
*
Division Desired:
Men's:
Open
30-UP
Women's:
Open
Please type your roster here (max 8):
1
Age:
5
Age:
2
Age:
6
Age:
3
Age:
7
Age:
4
Age:
8
Age:
*
We reserve the right to edit team names.
PERSONAL INFORMATION
Last Name:
*
First Name:
Middle Initial:
(optional)
Street Address:
City:
*
State:
*
Zip:
Phone:
Cell Phone:
E-Mail Address:
Gender: Male
Female
Are you 18 years of age or older? Yes
No
You must be 18 years or older to play at Culter Bay Soccer Club
How did you hear about 5V5 Shootout?
Flyer
Club
Newspaper
Friend
Other (Please Specify): :
*
Required Fields
