REGISTRATION FORM
Participant's Name ___________________________________________________
Address __________________City _____________ State _________ ZIP_______
Parent/Guardian ______________________________ Home Phone ___________
Email Address _______________________________ Cell Phone _____________
Birth Date __ / __ / __ Age (as of July 31 2009) _____ 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 _______________
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OFFICE USE ONLY: Division ________ Birth Cert. Y/N Check#_______ Cash
