Print out this form, make copies as necessary and return with check (made payable to CSC) to: CSC, P.O. Box 903, Cranford, NJ 07016.
PLAYER INFORMATION
Last Name: ___________________________________
First Name: ____________________________________
Address: _____________________________________
City: ________________ Zip: _________________
Date of Birth: _________________________________
Phone: __________________________________
Mother's Name: _______________________________
Father's Name: ___________________________
E-Mail Address: ______________________________
PLEASE INCLUDE A COPY OF YOUR CHILD'S BIRTH CERTIFICATE IF IT NOT ALREADY ON FILE WITH CLUB
EMERGENCY CONTACT
Name: ____________________________
Relationship: ________________________________
Phone: ____________________________
Alternate Phone: __________________________________
CIRCLE APPROPRIATE DIVISION
GRADE (AS OF 9/8/99)...DIVISION...FEE
KINDERGARTEN...INSTRUCTIONAL ...$35.00
FIRST & SECOND ...MIDGET ...$35.00
THIRD & FOURTH ...JUNIOR ...$35.00
FIFTH � TENTH ...INTERCOUNTY ...$50.00
LATE FEE OF $10.00 ASSESSED AFTER 1/31/20; $5.00 DISCOUNT FOR EACH ADDITIONAL CHILD
CONSENT
I give my child permission to play in the Cranford Soccer Club Soccer Program. I recognize that soccer is a fast, active, contact sport and hereby release the Cranford Soccer Club, its officers and coaches from any liability arising from or relating to my child's participation in the Cranford Soccer Program.
Signature: _____________________________________
Print Name: ____________________________________
Date: _________________________
VOLUNTEERS
The Cranford Soccer Club is a volunteer organization and needs your help. Please CIRCLE your choice below.
COACH
ASSISTANT COACH
FIELD MAINTENANCE
REFEREE
TEAM PARENT
BOARD MEMBER
COMMITTEE MEMBER
TEAM PARENT
VOLUNTEER NAME: _____________________________________
PHONE: ____________________________
TO REGISTER
In Person: January 7th or 12th, 7:30-9:00 PM, Cranford Community Center.
By Mail: Cranford Soccer Club, P.O. Box 903, Cranford, New Jersey 07016.
For More Info: Call the Club at 276-9155 and leave a message. We will be back to you promptly!
The Cranford Soccer Club runs recreational soccer programs for boys and girls from Kindergarten through 10th grade in two separate leagues--the In-House League and the Intercounty League.
The In-House Recreation league is further broken down into three divisions of play based on age and grade:
Instructional for Kindergarten players.
Midgets for 1st and 2nd graders.
Juniors for 3rd and 4th gradres.
Each division is further separated into boys and girls groups.
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