Team Name:

School Affiliation:

Important! Indicate if this a Boys or Girls Team:

Boys

Girls

Team Contact:

Name:

First  Last

Address:

Street

City State ZIP

Phone Number:

--

email: @

Team Colors:

Primary

Secondary

The following ratings will help to create a balance of competition within the groupings.

(Check one or each category)

Make-up of team:    Varsity   Mixed

Experience of team   Highly competitive Competitive   Developing

Sending a check for:

$100.00 (deposit) Balance due by June 14, 2009

$525.00 (payment in full)

$425.00 (payment in full, second team)

Add any additional comments, if desired

Please make checks payable to "OC Soccer Group"

Please Mail to:

Twilight Soccer League

6 Sweet Briar Drive

Clark, N.J. 07066