CEDARBURG PARKS AND RECREATION DEPARTMENT / FUNTASTIC SOCCER 2017 SOCCER LEAGUE REGISTRATION FORM PLEASE READ ALL INFORMATION CAREFULLY BEFORE COMPLETING FORM PLAYERS. Grades Kindergarten through 4th are welcome to participate. (Grade determined by 2016/2017 school year) FEE:

$65 (Fee includes a team shirt)

PRACTICES AND GAMES: Practices and games are Thursday nights from 5:30pm – 6:30pm. Games will be played in the evenings on Mondays. Game night schedule: Practices and Games will be held at Prairie View Park. Practices and Games are run by Funtastic Soccer Coaches, including Coach Hayden Knight and parent volunteers. HOW TO REGISTER: Complete the registration form below, include correct registration fee and return to the Cedarburg Parks and Recreation Department. Office hours – Monday through Friday 7:30 to 11:30 a.m. & 12:30 to 4:30 p.m. Mail – W63 N645 Washington Ave. PO Box 49 Cedarburg WI 53012 (lost or delayed mail is not the responsibility of the Parks and Recreation Department). Drop Box – located at the south entrance of City Hall (please place in an envelope marked Parks and Recreation). Online Registration is also available. DEADLINE: The registration deadline is Friday April 24th, 2017 COACHING: All teams will be coached by Funtastic Soccer Coaches, including Coach Hayden Knight with assistant parent volunteers. If you are available and/or willing to assist, please indicate so on the registration form below. Schedule: Wednesday, May 3 Thursdays, May 11 – May 25 Thursdays, June 1- June 22

Coaches Meeting (Done at City Hall) Practices Practices and Games

6:00pm – 6:30pm 5:30pm – 6:30pm 5:30pm – 6:30pm

CEDARBURG PARKS AND RECREATION / FUNTASTIC SOCCER - SOCCER LEAGUE REGISTRATION Circle the Appropriate Category Below K4 – K5

1st – 2nd Grade

Child's name

3rd – 4th Grade M/F

Birth Date

Age

Grade (2016/17) _______

Telephone (H)

Parent/s name (please print) ___________________________________

(W) _____________ E-Mail _______________________________

Address: __________________________________________City:____________________________Zip:_____________

Willing to Coach? Yes No _____ (NO COACHING REQUESTS) Name of Person Interested in Coaching: __________________________________________________________________ (Please print full name) PLAYER’S SHIRT SIZE (Circle size below): Shirt Sizes:

YOUTH SMALL

YOUTH MED

YOUTH LARGE

YOUTH XL

ADULT SMALL

Special Considerations (medical, disabilities, etc…) For: _________________________________________________  Parent Signature: ________________________________________________________

============================================================================================== FOR OFFICE USE ONLY: FEE PAID: $__________ DATE PAID: __________

CHECK #____________ CASH_______