Clear Spring Youth Soccer Spring Season 2008 Important information, please fill in all fields Players Name:__________________________ Address: __________________________________________________ Male    /   Female                        Age:______               Date of Birth: ____/____/________ Home Phone# ________________ Emergency contact #_______________ Cell Phone#  _________________ Email Address: __________________________        SHIRT SIZE:      YS      YM       YL           ADULT S          OTHER_________ Did this child play for C.S.S.C. in  2007?        Yes  /  No Previous Coaches Name: ________________________________ Does this child have any medical problems?   ....................   Yes    /      No If yes please describe: ___________________________________________ Medical Insurance Through: ____________________________ Please circle if you are interested in any of the following: Coaching?              Name & Phone #___________________ Asst. Coach?          Name & Phone # __________________ Referee                  _________________________________                    Sponsoring a team? (Cost is $175) Person to contact: ____________      Phone:    (____)- ____-_____ Sponsors name that will go on the shirt:   ______________________            Ages 4-11  $ 35 BEFORE March 1st         $45 AFTER March 1st Ages 12-13   $50 Before March 1st  $60 after March 1st Family Discount-  2 Players $60     3 Players $90 (must be sent in together)           Please make checks payable to: Clear Spring Soccer Club           MAIL TO:  CSSC 12204 BIG POOL RD CLEAR SPRING, MD 21722 TEAMS WILL FILL UP ON A FIRST COME BASIS, IT IS BEST TO MAIL YOUR APPLICATION ASAP. If teams are full you will be placed on a waiting list. Parents Signature: ________________  DATE:____/_____/ 2008 Each Player receives a T-shirt, socks, and a participation trophy. You must supply shinguards,shorts,soccer cleats.  If you can not make a particular day for practices, please list it here, we will do our best, however it is not always possible in all circumstances. Thank You! ___________________________________________________________________________________ ___________________________________________________________________________________ Once you have signed up a coach will contact you around the middle of March with practices starting soon thereafter, the season for Spring runs From   mid April -  June.