MADISON INVITATIONAL SOCCER TOURNAMENT NOVEMBER 3 & 4 2001 ****REGISTRATION FORM**** U10 BORN ON OR AFTER AUGUST 1, 1991 U12 BORN ON OR AFTER AUGUST 1, 1989 U14 BORN ON OR AFTER AUGUST 1, 1987 Club Name: _____________________________________________________________ Team Name: _____________________________________________________________ Age group entering (check):  []Boys   []Girls  --->  []U10  []U12  []U14 The League in which your team plays: ___________________ & Division  []1-A,  []1-B, []1-C, []2-A, []2-B, []2-C, other ________________________. Recent league record: Spring season W___ L___ T___ Fall Season (to date)W___ L___ T___ Coach's Name:____________________________________________________________ Address: _________________________________________________________________ City: ______________________________State: __________ Zip Code:_______________ Home Phone: ___________________________    Work Phone: ______________________ Team Manager: ____________________________________________________________ Address: _________________________________________________________________ City: _______________________________State: _________Zip Code: _______________ Home Phone:___________________________    Work Phone: ______________________ RETURN THIS REGISTRATION FORM WITH $200.00 ENTRY FEE PER TEAM BY OCTOBER 3, 2001 TO: MADISON SOCCER LEAGUE c/o DAVID OSBORNE 925 NORTH LAKE ST. MADISON, OHIO 44057 For information, contact: David Osborne, (440)428-1876

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