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NEW ADULT SUMMER COED SOCCER LEAGUE

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2007 PISA Fall Youth Team Registration

12 Games beginning October 27, 2007

Fields marked with an * are required

Please indicate in the age group box

(1) session 1 or (2) session 2, along with age group

Age Groups - U6 COED, U8 COED 1, U8 COED 2, U10B1, U10B2, U10G1, U10G2, U11B, U11G, U12B1, U12B2, U12G1, U12G2, U14B1, U14B2, U14G1, U14G2, HS Boys, HS Girls

Classic Boys and Girls - U12, U13, U14, U15, U16, U17, U18

Team Name *
Age Group *        
         
Check one * Boy Girl Co-ed  
         
Check one * Division 1 Division 2 Classic  
 
Coach *
Address *
City * Zip *  
Home Phone * Ofc Phone *  
Cell Phone E-Mail  
 
Team Manager
Address
City Zip  
Home Phone Work Phone  
Cell Phone E-Mail  
 
There are three ways to register.
     
1. Print form and mail with $250 deposit to: Pittsburgh Indoor Sports Arena  
  220 Rich Hill Road  
 * see below about deposit Cheswick, PA 15024  
     
2. Print form and fax to 412-820-7658 and then call 412-820-0657 for credit card payment
     

3. Click on Send Form and call 412-820-0657 for credit card payment

     
Effective this season, $50.00 of the $250 deposit will be required for a cancellation deposit which is due upon registration.  This is an additional fee not included in league fees.  Any cancellations or no-shows will result in a forfeiture of this deposit.  All deposits will be returned at season's end for qualified teams.

 

 
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