2010 House League Registration - letter size

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2010 House League Registration - letter size Powered By Docstoc
					WE NEED YOUR HELP!!                         Office hours
CAN YOU OR SOMEONE YOU
        KNOW                                   TUESDAY
                                           7:00 PM—8:30 PM                                                                   SUM
                                                                            MER                                                   ME
                                                                         SUM 0                                                 2010 R
        SPONSOR                              WEDNESDAY                     201
           OR                              6:30 PM—9:30 PM

         COACH                                THURSDAY
                                           7:00 PM—8:30 PM
ANYONE INTERESTED IN COACHING A                                                                 Affiliated with
HOUSE LEAGUE TEAM, WILL HAVE              We are located in the                    North York Catholic Youth Organization,
                                       Carmine Stefano Community                     North York Soccer Association and
THEIR SON/DAUGHTER’S                           Center at                                 Ontario Soccer Association
REGISTRATION FEE.WAIVED.               Weston Rd & Sheppard Ave

PLEASE REGISTER BEFORE
APRIL 3, 2010.

APPLICANT’S INFORMATION:

NAME:__________________________

RES #:__________________________

BUS #:__________________________
                                                                         SUMMER
                                           Weston Soccer Club              2010
CELL #:_________________________        Benilde Schettino, President
                                             3100 Weston Rd.
                                                 Suite 105
                                            North York, Ontario                   HOUSE LEAGUE
                                            Tel: 416-744-4386
                                            Fax: 416-745-4386
                                         Email: wsc98@rogers.ca
                                                                                  REGISTRATION
                                       Website: www.wscwolves.com                  BOYS & GIRLS
                                   PRINTED BY             905-799-2225              (AGES 4-14)
                                               SEASON STARTS MAY 31, 2010                                 PLAYER INFORMATION
       Executive Team                                                                                             (PLEASE PRINT)
                                         REGISTRATION FEE: $150.00 PER CHILD          NAME:________________________________________________________
                 We welcome all par-
                 ents and players to                FAMILY SPECIAL:
                 another exciting                                                     DATE OF BIRTH______________________
                                         2 CHILDREN         $140.00 PER CHILD                          MM/DD/YYYY
                 summer season.
                 The season will         3 CHILDREN OR MORE $130.00 PER CHILD
                 commence May 31         4-5 YEARS OLD      $110.00 PER CHILD         ADDRESS:_____________________________________________________
                 and finish at end of                       (NO REFEREES)
                   August. We have                                                    CITY:________________PROV:_______POSTAL CODE:_________________
Benilde Schettino been serving the            EARLYBIRD REGISTRATION FEES:
   President       community for the                                                  HOME PHONE;__________________BUS OR CELL:____________________
                   past 10 years.        BEFORE JANUARY 15, 2010 $125.00
                 Our goal is to pro-                                                  HEALTH CARD:_________________________________________________
                 mote the game of        BEFORE FEBRUARY 15, 2010 $130.00
                 soccer and try to       BEFORE MARCH 15, 2010          $140.00       SCHOOL:______________________________________________________
                 keep these young
                 players off the                 FINAL REGISTRATION DATE:             ALL PLAYERS MUST ATTACH A PICTURE AND PHOTOCOPY OF BIRTH
                 streets and from                                                     CERTIFICATE FOR PROOF OF AGE.
                                                         MAY 5, 2010
Guy Fracassa     being in front of a                                                                  NO REFUNDS AFTER APRIL 1, 2010
  General        television set.             **ALL NSF CHEQUES ARE SUBJECT TO
  Manager                                                                                            PLAYOFFS WILL BE AUGUST 28-29, 2010
                                                   $30 SERVICE CHARGE**
                All players with
                average abilities will                                                I GIVE PERMISSION FOR ____________________TO PLAY FOR THE WES-
                be given a chance to     ALL REGISTRANTS WILL RECEIVE THE             TON SOCCER CLUB AND FORGO ANY RESPONSIBILITY TO THE CLUB
                participate in our       FOLLOWING:                                   FOR ANY UNFORESEEN INJURY THAT MIGHT OCCUR DURING THE SEA-
                Development              •    FULL UNIFORM , TROPHY                   SON.
                Program that is put
                together by the          •    TEAM PICTURE, SOCCER BALL               SIGNATURE:__________________________ DATE____________________
Adam Pagliaroli                                                                                   PARENT/GUARDIAN
                Technical Director.      •    BANQUET (minimal charge for parents
   Technical
   Director                                   and other guests, one parent must ac-   SWEATER SIZE:                          INTERESTED IN HAVING YOUR
                                              company the child)                                                             CHILD TRYING OUT FOR OUR
                                                                                      YOUTH                                  COMPETITIVE TEAMS.
                                         MAIL REGISTRATION FORM WITH THE                      SM______MD_____LG______
                                                                                      ADULT                                  YES_____________
                                         APPLICABLE FEE ATTACHED (NO CASH)                    SM______MD_____LG______
 Special Notes:
                                         TO:                                                                                 NO_______________
 1. All players must wear shin guards
    and outdoor soccer shoes.
 2. Any cancellation of registration will MAKE CHEQUE PAYABLE TO:                     Office Only:
    subject to a $50 administration fee.        WESTON SOCCER CLUB
 3. If a child has asthma please let                                                  Date Received:______________________By:_______________________________
    your coach know that his/her puffer         3100 WESTON RD, STE 105
    is with him/her at all times.               NORTH YORK, ONT. M9M 2S7              Amount Received:______________Cash:______________Cheque:_____________
 4. Picture day will be Saturday, June
    26, 2010
                                                                                      Cheque #:_____________________Cheque Date:___________________________