Emily Johnson Play It Forward Fund CHARITYSMITH

Registration

Emily Johnson Home Page :: About Emily :: Scholarships :: Sponsors
Soccer Tournament Registration :: Soccer Tournament Rules

Deadline for registration is June 4, 2012.
Be sure to register early to ensure you get the correct T shirt size!

Date: June 8-10, 2012

Location: Gates Soccer Park, Glenwood Springs, CO

Tournament Fee: $150

Waiver Form (must be filled out and signed for each participant)

If registering online, payment must be made immediately by credit card using Google Checkout or PayPal.

If mailing in payment please print registration form from PDF file at right and mail the form and check to:

Emily Johnson Play It Forward Fund
P.O. Box 584
Silt, CO 81652

 

Full Name:
Team Name:
Team Type:
Coach Name:
Coach Address:
City:
State:
Zip:
Coach Email:
Coach Phone:
Team Contact Person:
Contact Address:
City:
State:
Zip:
Contact Email:
Contact Phone:
Player 1 Name
Player 1 Birthdate
Player 1 Years Experience
Player 1 T-shirt Size (YM-AXL)
Player 1 Parent Signature (type in your full name)
Player 2 Name
Player 2 Birthdate
Player 2 Years Experience
Player 2 T-shirt Size (YM-AXL)
Player 2 Parent Signature (type in your full name)
Player 3 Name
Player 3 Birthdate
Player 3 Years Experience
Player 3 T-shirt Size (YM-AXL)
Player 3 Parent Signature (type in your full name)
Player 4 Name
Player 4 Birthdate
Player 4 Years Experience
Player 4 T-shirt Size (YM-AXL)
Player 4 Parent Signature (type in your full name)
Player 5 Name
Player 5 Birthdate
Player 5 Years Experience
Player 5 T-shirt Size (YM-AXL)
Player 5 Parent Signature (type in your full name)
Player 6 Name
Player 6 Birthdate
Player 6 Years Experience
Player 6 T-shirt Size (YM-AXL)
Player 6 Parent Signature (type in your full name)
Skill Level (Please select your competitive level. We will try to pair teams according to their skill level.)
Comments:

There will be 8 teams per pool. Additional teams added if schedule allows.

Please bring a copy of the child's birth certificate and a signed copy of this form to the tournament (be sure to print out and sign the response page after you press submit).

To help prevent spam, please enter the 2 challenge words listed below. If you have difficulty reading the words, click the circular arrow button (     ) to get a new set of challenge words.

 

Thank you for your registration for this year's Emily Johnson Play It Forward 3v3 Soccer Tournament.

One of Emily's passions was creativity--films, acting, arts, self-expression--and in that spirit a supportive local family is again sponsoring a contest awarding the most creative team t-shirt.

It's always fun to see the ideas that spring from your imaginations and we didn't want any of you left out of this loop!

We look forward to seeing you this weekend for some soccer in beautiful Glenwood Springs

-- The Tournament Committee