Player Information
player #1: ______________________________
Birthdate: ______________________________
Parent Signature ________________________
player #2: ______________________________
Birthdate: ______________________________
Parent Signature ________________________
player #3: ______________________________
Birthdate: ______________________________
Parent Signature ________________________
player #4: ______________________________
Birthdate: ______________________________
Parent Signature ________________________
player #5: ______________________________
Birthdate: ______________________________
Parent Signature ________________________
player #6: ______________________________
Birthdate: ______________________________
Parent Signature ________________________
Coach: __________________________________
Address: ________________________________
Phone: __________________________________
E-mail: _________________________________
Team Information
Team Name: ______________________________
Current Skill Level: (please circle one)
| Recreational |
USSF |
Premier |
Division: (please circle one)
| U8 Boys |
U8 Girls |
U10 Boys |
U10 Girls |
U12 Boys |
U12 Girls |
U14 Boys |
| U14 Girls |
U16 Boys |
U16 Girls |
U19 Boys |
U19Girls |
Open |
Over 30 |
Once this form is complete, Return with
A CHECK or MONEY ORDER made out to the
Common Ground Soccer Tournament by
May 1, 2003.
Common Ground Soccer Tournament
333 N. Cedar St.
Lansing, MI 48912