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Your Information (the person filling out this
form) |
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Your Name (First and Last) |
Your Email Address |
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I am registering my 5v5 Futsal team for : |
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Team
Information |
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Team Name: |
Gender / Division / Age Group |
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Coach Name ( First and Last) |
Coach Email Address: |
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Coach - Address |
City, State ,
Zip |
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Coach Phone / Coach
Cell Phone |
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Assistant Coach
(First and Last) |
Assistant Coach Phone / Email
Address |
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Team Manager
(First and Last) |
Manager Phone / Email
Address |
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Please tell us about your team: |
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I can attend the pre-season
coach training session on Nov. 17. |
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interested in having a Massachusetts Futsal coaching staff
member run a training session with my team.
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Payment Section Information |
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I would like to order
additional futsal balls at a discounted advance price.
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I would like to order the
book, Holistic Futsal, to aid in my development
as a coach for the price of $25.00 |
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| My players
are interested in purchasing Joma futsal shoes at a discounted
advance price. (Sneakers are not allowed) |
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I am
paying
$250 Deposit at this
time Via Check or Money order.
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Check
Date:
Number:
Amount:
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Please send your $250 deposit and a copy of this form
to: InSoccer; 66 Anawan St.; Rehoboth, MA; 02769.
You will receive a confirmation of successful
registration via email. If your check is not received
within five days, we reserve the right to make available
your team's spot to another team on our Waiting List.
All balances are due before you play your first game.
Please contact
Theresa Dupre with any
registration-related questions. Please contact
Jason Miller
with any
league, division or team-related questions. Please
contact the
webmaster with any
technical questions.
We look forward to seeing you and your team play the
Best Indoor Sport in the World, The Sport of
Futsal! |
