regform.htm

Super Soccer - 2010 REGISTRATION FORM

Return Form to Fraser Oliver - Fax - (867)- 873-5732

(Jr Super Soccer Before Friday April 9thth, 2010 - Noon )

(Sr Super Soccer Before Friday April 16th, 2010 - Noon )

*Team Roster is set at the start of the first game

School Name: ____________________________

Age Division _____________________ Double AA Single A (Sr. Super Soccer Only: Please Circle One)

Boys __________ Girls ___________

Coach:______________________________________

Player's Name Player's # Player's Birth date ...........(Year, Month, Day)

1)

2)

3)

4)

5)

6)

7)

8)

9)

10)

11)

12)

13)

14)

15)

COACHES' SIGNATURE:____________________________

PRINCIPAL'S SIGNATURE:_________________________

(As principal, I confirm that all the players above are in good standing at my school and are permitted to participate in the Super Soccer 2010.)

Player's Name	Player's #	Player's Birth date ...........(Year, Month, Day)
1)
2)
3)
4)
5)
6)
7)
8)
9)
10)
11)
12)
13)
14)
15)