set font size to 9          PORTLAND INDOOR SOCCER          
                            YOUTH REGISTRATION FORM

(NOTE: price includes all fees; no separate referee fees or player card fees)

[  ] Youth Second Fall League (begins mid-November)
     Team fee for Second Fall 2008 (six-game) season: $465.00

[  ] Youth Winter League (begins January 10)
     Team fee for Winter 2009 (eight-game) season: $630.00

[  ] Youth Spring League (begins approx. March 31)  
     Team fee for Spring 2009 (six-game) season: $465.00
	
[  ] Youth Summer League (begins in early June)
     Team fee for Summer 2009 (six-game) season: $440.00

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NOTE: These are Fall 2008 age classifications!

[  ] Boys U14	[  ] Boys U10		[  ] Girls U9	[  ] Girls U13
[  ] Boys U13	[  ] Boys U9		[  ] Girls U10	[  ] Girls U14
[  ] Boys U12	[  ] Boys/Coed U8	[  ] Girls U11		
[  ] Boys U11	[  ] Coed U7		[  ] Girls U12		
[  ] High School Rec (all or mostly boys)  
[  ] High School Rec (all or mostly girls)
						
How would you rate your team for it’s age group[circle]? 

			 STRONG  AVERAGE    WEAK


Team Name:____________________________________  Average age of team:__________

Manager's Name:________________________________   Grade in school:____________

Home Phone:(       )______________________  Work:(      )_____________________

Address:______________________________________________________________________

City:__________________________ State:____________Zip:________________________

E-mail: ______________________________________________________________________


Preferred day(s):[circle]        SAT     MON     TUE     WED     THU     FRI
				(note: high school rec plays M-F at 4:15 PM)

Days to avoid (maximum of two):  SAT     MON     TUE     WED     THU     FRI

  
Specific date/weekend to avoid (if possible*):________________________________

Mail or bring this form with a $100.00 team deposit to:

PORTLAND INDOOR SOCCER, INC.
418 S.E. Main St.
Portland, OR  97214
503-231-6368
indoor@spiritone.com

*NOTE:  We make every effort to comply with your schedule requests, but 
        we cannot guarantee days or times to play.