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Participant's Name ___________________________________________________


Address __________________City _____________ State _________ ZIP_______


Parent/Guardian ______________________________ Home Phone ___________


Email Address _______________________________ Cell Phone _____________


Birth Date __ / __ / __ Age (as of July 31 2008) _____ School ________________


Shirt Size ______     (Choose one) YS   YM   YL   AS   AM   AL


Special Requests ____________________________________________________


REFUND POLICY: A $25 penalty will be assessed for all refunds made prior to the first game of the season. NO REFUNDS will be given after the first game.


I hereby give permission to my child to play soccer for the Hanover Soccer Club. I shall assume responsiblity in case of accident and/or injury which may occur during participation. I will not hold the Hanover Soccer Club, its officers, or coaches responsible.


Parent's Signature _____________________________________ Date _________


WE NEED YOUR HELP! We cannot have a successful season without the support of our parents and volunteers.


Please contribute to the program by volunteering: (Please select one)

Head Coach  /  Assistant Coach  /  Field Work  /  Equipment  /  Concession


Name of Volunteer______________________________ Phone _______________




OFFICE USE ONLY: Division ________  Birth Cert. Y/N  Check#_______  Cash