MSL Sports Catalog:Indoor Soccer
Tentative Game Dates Are:
Dec.30th, Jan 6, 13 & 20
Tournament Date: Jan 27th
Games will begin at 1pm each Sunday
U10 - U18 Girls and Boys / Cost Per Player $40.00
Deadline for sign-ups will be December 17, 2007
There will be absolutely no guest players. Guest players are defined as players who are not registered to play Indoor Soccer at ATMS.
Parent/Legal Guardian Signature is required for player participation and signifies agreement with the Liability Release Agreement.
LIABILITY RELEASE FORM MUST BE FILLED OUT FOR EACH PLAYER
PRINT ALL FORMS
Mail all forms to:
MSL Sports
6611 Fairview Church Rd.
Trinity, NC 27370
For more information please contact Mike Sink
(336) 687-3304 or (336) 434-5314 / e-mail to mslsports@northstate,net
Individual Applicant's Name__________________________________
Age____ Today's Date__________Gender________
Team's Name____________________________________
Coach's Name__________________________________
Parent or Guardian Signature________________________
Contact Phone Number____________________________
Emergency Phone Number_________________________
CCN_____________________________CVV2 #_______
Card Type__________________Exp Date_____________
Checks Payable to: MSL Indoor Soccer
Mail All Forms To:
MSL Sports,
6611 Fairview Church Road
For more information please contact Mike Sink (336) 687-3304 or (336) 434-5314 / mslsports@northstate.net
LIBILITY RELEASE FORM MUST BE FILLED OUT FOR EACH PLAYER
Price Per Player $40.00 Price: $40.00
I the undersigned hereby certifies to be the parent or legal guardian of_________________________________, and certifies that my child is physically fit, mentally capable and medically qualified to participate in the MSL Sports Indoor Soccer activities. I understand that soccer is an active physical sport and that injuries can occur. I understand that every effort will be made to contact me in case of an emergeancy concerning my child, however, if I cannot be reached and/or if time is of essence, I hereby give my permission to MSL Sports Staff to seek appropriate medical attention for my child, for medical attention to be given and received by my child in the event of accident, illness, or injury during the period of the games. I will be responsible for any and all cost of medical attention and treatment. I, the undersigned, for myself and my heirs, executors and administrators, waive and release, and forever discharge MSL Sports, its Officers, Coaches, High School Players, Archdale/Trinity Middle School, All School Administrators, Randolph County Board of Education and/or Administrators or any Volunteers are released from any and all liabilities in connection with medical treatment and any accidents or injuries which may occur during or after the MSL Sports Indoor Soccer.
Name of Child's Insurance Company____________________________________
Policy Number________________________________
Policy Holder_________________________________
Parent or Guardian Signature____________________________________
Date________________________________________
6611 Fairview Church Rd
Team Name______________________________________
Coach__________________________________________
Phone (H)_________________(M)____________________
Check One
Boys____ Girls_____ Co-ed______
1) Players Name__________________________ Age____
2) Players Name__________________________ Age____
3) Players Name__________________________ Age____
4) Players Name__________________________ Age____
5) Players Name__________________________ Age____
6) Players Name__________________________ Age____
7) Players Name__________________________ Age____
8) Players Name__________________________ Age____
9) Players Name__________________________ Age____
10) Players Name_________________________ Age____
CCN____________________________CVV2 #_________
Card Type___________________ Exp Date____________
Checks Payable To: MSL Indoor Soccer
6611 Fairview Church
Price Per Player: $40
Price: $40.00
Emergency Phone Number_____________________________________
Child's Name_________________________________