LHSA Online Registration - 2010 Fall Recreation Soccer

for children born between 8/1/96 and 9/30/05

Parents / Guardians may register up to three (3) players online:

Families wishing to register more than three
players must submit a printed paper application form for each player.

RECREATION SOCCER PROGRAM REGISTRATION FEES:
$65.00 for families with one child playing $60.00 per child for families with two children playing $55.00 per child for families with three children playing

(plus applicable late fees - registration deadline was 2010-06-30)

bold fields are required

PARENT/GUARDIAN CONTACT INFORMATION

Please supply the following information
about the person responsible for this application:

First Name:

Last Name:

E-Mail Address:

Daytime Phone:

Evening Phone:

Cell Phone:

(optional)

Preferred Contact Method:

Street Address:

City:

State:

Zip Code:

Check this box to indicate that you and your player(s) agree to the terms of the Lawrence Hamnett Soccer Association Code of Conduct.

VOLUNTEER AND FINANCIAL SUPPORT: (optional)

The Lawrence Hamnett Soccer Association, Inc. (LHSA) is a non-profit organization run exclusively by volunteers. As such, LHSA is only able to provide services for their players and their families through the active participation of coaches, sponsors, and the work of the Recreation Advisory Group.

Please indicate your commitment by entering the volunteer's name in the appropriate field(s) below:

Coach:
Assistant Coach:
Recreation Advisory Group:
Team Sponsor: