Youth Indoor Soccer House Teams - Application, Syracuse Indoor Sports Center

2007-2008 YOUTH SOCCER LEAGUE
INDIVIDUAL PLAYER (HOUSE TEAM) APPLICATION

PDF version of this form

Name

Date of birth

Address

Age

City

State

Zip

Parent/Guardian
Phone(h)	Phone(w)
Phone(cell)	Other Emergency Phone
Email address

Did your child participate in an outdoor soccer league during Fall 2007? (If so, please list which league)		Yes
		No

Name of league

Please List division your child would like to participate in.
Division:
Day & Time:
Session: (check one)	Fall
	Winter
Print/Legal guardian: Please sign the following release: I state that the above applicant is in good/excellent health and he/she has my permission to participate in the youth indoor soccer league at the Syracuse Indoor Sports Center.

Signature	Date

Would parent/legal guardian like to coach?
	Yes, I would like to coach
	No, I would not like to coach

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Applications should be brought, faxed or mailed to:
Syracuse Indoor Sports Center, 4989 Hopkins Road, Liverpool, NY 13088
Fax: 315-451-1951

A $159 fee/player should accompany this application. Make checks payable to SISC.
If you fax your application, your check may be mailed separately, or call us to make a credit card payment.

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Mail Applications to Syracuse Indoor Sports Center, 4989 Hopkins Road, Liverpool, NY 13088 - Phone: 315-451-1800