Registration Form
American Futbolito (five-a-side) Futsal
(No Black Sole Footwear)
Team Name:
(Only For Clinics): Players Name:
Age Group: What Age ? ? ? Men Over 40 Women Over 40 Men Over 35 Women Over 35 Men's Open Women's Open U19 Boys U19 Girls U16 Boys U16 Girls U14 Boys U14 Girls U12 Boys U12 Girls U10 Boys U10 Girls U8 Kids Mixed High School League
League or Special Events : Select One Futsal League Winter 2008-09 Futsal League Summer 2008 Volleyball League Flag Football League
Team Color: Gender: Male Female
Coach Name: Address:
City: State: Zip:
Email:
Day Phone: Evening Phone: Cell:
Assistant Coach Name:
Address: City: State: Zip:
Teams Current League: Town Town Travel Maple ODP Receration Other Division: D3 D2 D1 A B C
What Division would you prefer to play in D1 D2 D3
Session Playing: Session I Session II Both
Please Make a copy of the Confirmation page after you submit the form.
Thank You for playing Futsal
978-774-4664 www AmericanFutbolito.com
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(You will receive an e-mail within three days of registration if you do not please call and confirm)
This is to confirm that we received your form. You will not be put on a waiting list unless we call personally or you receive an e-mail confirming you have been put on the waiting list.