ADULT REGISTRATION FORM
REGISTER NOW
FILL OUT FORM, INCLUDE ROSTER &
$100 DEPOSIT or (Register 2 players early)
Fees Per Player: $50 per player, plus US Soccer ID card $15 if needed
Team Name_________________________ Jersey Color _______________________
Email _____________________________ Season ________________________
Coach _____________________________ Address _______________________
City & Zip _________________________ Phone (h) # _______________________
(w) # ______________________________ (©) # _________________________
List times your team cannot play:________________
CIRCLE ONE DIVISION BELOW
Men's I Men's II Men's III Men's IV U-19 Women's Open (U-17 & UP) Women's Rec. (25 UP)
Coed I Coed II Coed III
Proof of age is required upon registration.
(903)597-2000 Fax Form to : (903)597-2001
Email us at play@suddenlinkmail.com
(Office Use Only) Circle One: Check Credit Card Cash (give receipt)
Date $100 Deposit Pd.:__________________ Who took money?__________