CHARITON RECREATION
DEPARTMENT
2007 Youth Soccer Registration Form
NAME_______________________________GRADE: (In Fall 2007)_____________
SHIRT SIZE: (In case we have some donated) ____Youth Small ____Youth Medium
____Youth Large ____Adult Small ____Adult Medium ____Adult Large ____Adult XL
AGE:_____ BIRTH DATE__________ SEX M____ F _____
PHONE (H) _____________ __________ PARENT'S WORK # _____________________
ADDRESS_______________________________CITY_______________ ZIP__________
PARENT'S NAME(S)_______________________________________
EMAIL___________________________________________
PARENTS: Please check one of of the following:
1.____
I will volunteer to coach a youth soccer team.
2.____ I would be an assistant coach.
3.____ I do not want to coach, but I would if you are desperate.
4.____ I cannot coach, but I will help out at games by keeping time or
score.
5.____ I cannot coach or help out.
Return
this page along with the registration fee to City Hall by August 16th.
Any forms returned after the 16th will be assessed a $5 late fee.
(No
one will be allowed to participate until registration fees are paid.)
Coaches Draft Meetings are tentatively scheduled for Tuesday, August 21st at the
Chariton City Hall:
Pee Wee - 5 pm; Minors - 5:45; Majors - 6:30