Neptune Recreation Soccer

2008 Fall Registration Form

Pre K- (4 years old) -----   8th Grade

 

Registration and other information available online at

www.Neptunesoccer.org

Contact info-732-233-1215

 

Registration Dates and Times:  Saturday, August 9th 9:00AM to -11:00 AM

 

Location: Sunshine Village Soccer Fields, Neptune New Jersey

 

Registrations are NOT accepted by mail.

You must register in person or online.

 

(PLEASE PRINT)

 

Player Name: ______________________________________________ Phone: _________________

 

 

Parent or Guardian: ____________________________________    -    Cell# ______________________

                                                                                                                                   

 

Address: ________________________________________________________________________________

                                    Street                                                   City                                          State                Zip

 

Email Address: _______________________________________________________________

                        Email is held and used by Neptune Soccer Association Only

 

Circle one ---à> BOY     GIRL                      Date of Birth:____________________  Grade:_____________

 

 

Example:

Child      (First Child)                                                        $50.00

Mandatory Family Refundable Bond                          $25.00

Total Cost                                                                            $75.00

COST:

 

$50.00 per child             ($45.00 per additional child)                                           $ __________

 

            I agree to work one Saturday (8 -10:30 AM OR 10:30- 1:00 PM)                $ _________

 


            I would like to forfeit my work bond (I do not intend to work)                    $ __________

                                                                                   

            I would like to COACH (all coaches are subject to background check)       

 

LATE FEE:

            A late fee of $20 shall be applied after September 6th                                                       $ __________

~ All returned checks will be subject to a late fee of $20.00 ~

 

                                                                                                            TOTAL $ __________

 

Circle one

UNIFORM SHIRT SIZE           Child -              Medium (10-12)                         Large (14-16)                

                                                Adult -              Medium (38-40)                         Large (42-44)    

 

 


REG. CHECK # _______________ _     CASH $ ____________   

 

Work Bond in good standing - YES -  NO    Work Bond Check #  ________________  Cash $___________

 

SOLICITATOR ________________________     REG. DATE: _____________________________