2022 Fall Soccer 2022 Fall Soccer Player's Name First Last Full Address Street Address City Township AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code PhoneEmail School Grade Age Gender Parents' Names Select One Resident $50 Non-Resident $55 Shirt Size Youth Small Youth Medium Youth Larger Small Medium Large Extra Large Division Young 5's Kindergarten - 1st 2nd - 3rd 4th - 6th *Age/grade divisions subject to change based on enrollment* *kids are placed in Division based on their grade for the 2022-2023 school year*(Checks payable to Thomas Township General Fund) Registration Deadline - 8/12 ($15 late fee after this date till 8/19) Registration Closes 8/19WE CANNOT GUARANTEE REQUESTS. Volunteer Coaches determine their teams practice times. Therefore, we CANNOT honor requests regarding practice schedules.My signature on this form verifies that I understand Thomas Township, its employees and volunteers, shall not be responsible for any injury to my child while participating in this soccer program. I waive and release Thomas Town-ship from any and all claims.Parent / Guardian SignatureDate MM slash DD slash YYYY Volunteer Coach Name: Coach's PhoneShirt Size CAPTCHA
