THIS EVENT/ACTIVITY IS NOT SPONSORED BY THE NORTH MASON SCHOOL DISTRICT AND THE DISTRICT ASSUMES NO RESPONSIBILITY FOR THE CONDUCT OR SAFETY OF THIS EVENT/ACTIVITY.

SOCCER 2013

NORTH MASON YOUTH SOCCER CLUB

REGISTRATION FORM
2013 Fall Registration May 1 - July 28th, 2013

Register: - on line www.nmysc.org
- in person at Allyn Days in Allyn, WA
- by mail, mail this registration to:
NMYSC
P.O. Box 905
Belfair, WA 98528

***All first time NMYSC players must submit a copy of their birth certificate***

NO PLAYER WILL BE ROSTERED TO A TEAM UNTIL BIRTH CERT. IS ON FILE!

REGISTRATION FEE IS $100.00 FOR ONE PLAYER uniform included we changed uniforms this year, $10.00 DISCOUNT FOR EACH ADDITIONAL PLAYER IN THE SAME FAMILY. Payment can be made in 2 installments or charged to a Visa/MC.

PLAYER'S LAST NAME_______________________ MI:____ PLAYER'S FIRST NAME____________
PLAYER'S DATE OF BIRTH (mm/dd/yy)________________________________SEX: M F
PLAYER'S AGE BEFORE AUG. 1_________________
PLAYER'S EMAIL ADDRESS ___________________________________________________
PLAYER'S MAILING ADDRESS _________________________________________________
CITY_____________________ ZIP CODE______________PHONE#__________________________
PARENT'S EMAIL ADDRESS____________________________________________________
PARENT/GUARDIAN NAME______________________________ (relation) ______________
MAILING ADDRESS (if different) ________________________________________________
CITY________________________ ZIP CODE______________ PHONE#_________________
IS PLAYER A RETURNING PLAYER FROM LAST SEASON? __________YES NO
IF "YES" COACHES & TEAM NAME______________________________________________________
UNIFORM SIZE for this player (circle one): Youth: YS, YM, YL, Adult: S, M, L

Would you like to help? [Coach] [Assistant coach] [Help with fundraising] [Sponsor]

If you don't hear from us within 10 days of mailing your registration form please email Borseth5@wavecable.com or call (360)277-4468.