Gremlins 3v3 Soccer Tournament ~~ June 29, 2013
Team Roster Form (Please print clearly - must provide all information)
Team Name: ___________________________
Team Contact Person: ____________________________________________________ Contact Phone Number: ___________________________
Contact EMail:_______________________
Team Gender: (Check One) Male ( ) Female ( )
Age Division: (Check One) Players can not be on 2 rosters within the same division. ( ) U8 ( ) U10 ( ) U12 ( ) U14 ( ) U16 ( ) U18 ( ) Adult Co-Ed
Team Division: (Check One) _______Rec _______ Travel ______ Premier ______Adult Co-Ed
Player 1: Name:__________________________________ HomePhone:_________________________
Date of Birth (Month/Day/Year): ________________ Age: ________ Gender: _________
Player 2: Name:__________________________________ HomePhone:_________________________
Date of Birth (Month/Day/Year): ________________ Age: ________ Gender: _________
Player 3: Name:__________________________________ HomePhone:_________________________
Date of Birth (Month/Day/Year): ________________ Age: ________ Gender: _________
Player 4: Name:__________________________________ HomePhone:_________________________
Date of Birth (Month/Day/Year): ________________ Age: ________ Gender: _________
Player 5: Name:__________________________________ HomePhone:_________________________
Date of Birth (Month/Day/Year): ________________ Age: ________ Gender: _________
Player 6: Name:__________________________________ HomePhone:_________________________
Date of Birth (Month/Day/Year): ________________ Age: ________ Gender: _________
Email your registration (no later than June 1st to: [email protected] OR
Mail registration to: Preston Parks and Recreation, Attn: Gremlins Soccer, 389 Route 2, Preston, CT, 06365.
Make checks payable to: Preston Parks and Recreation
Team Name: ___________________________
Team Contact Person: ____________________________________________________ Contact Phone Number: ___________________________
Contact EMail:_______________________
Team Gender: (Check One) Male ( ) Female ( )
Age Division: (Check One) Players can not be on 2 rosters within the same division. ( ) U8 ( ) U10 ( ) U12 ( ) U14 ( ) U16 ( ) U18 ( ) Adult Co-Ed
Team Division: (Check One) _______Rec _______ Travel ______ Premier ______Adult Co-Ed
Player 1: Name:__________________________________ HomePhone:_________________________
Date of Birth (Month/Day/Year): ________________ Age: ________ Gender: _________
Player 2: Name:__________________________________ HomePhone:_________________________
Date of Birth (Month/Day/Year): ________________ Age: ________ Gender: _________
Player 3: Name:__________________________________ HomePhone:_________________________
Date of Birth (Month/Day/Year): ________________ Age: ________ Gender: _________
Player 4: Name:__________________________________ HomePhone:_________________________
Date of Birth (Month/Day/Year): ________________ Age: ________ Gender: _________
Player 5: Name:__________________________________ HomePhone:_________________________
Date of Birth (Month/Day/Year): ________________ Age: ________ Gender: _________
Player 6: Name:__________________________________ HomePhone:_________________________
Date of Birth (Month/Day/Year): ________________ Age: ________ Gender: _________
Email your registration (no later than June 1st to: [email protected] OR
Mail registration to: Preston Parks and Recreation, Attn: Gremlins Soccer, 389 Route 2, Preston, CT, 06365.
Make checks payable to: Preston Parks and Recreation