Soccer Sign-Up Form
Chariton County Soccer
Salisbury Parks and Recreation will be offering a Co-ed Fall soccer league for children from
4 years through 4th grade who reside in Chariton County. The games are scheduled for Sundays afternoons/early evenings starting September 13th through October 11th with a maximum of 5 games. There will be no reschedule weather dates. Practices are set up by the individual coaches.
The fee to play is $10.00 with checks made out to Salisbury Parks and Recreation. T-shirts will be provided for the games. The children are required to wear shin guards. Volunteers are needed to coach. Children need to be 4 years of age by August 1st. If they are in school, put them in the grade level they are in for the 2008-2009 school year.
Registration deadline is August 15th. Forms must be turned in Salisbury City Office or mailed to:
Salisbury Parks and Recreation, c/o Wendy G . 128 West 2nd St. Salisbury, MO 65281
Name: ______________________________ Phone: _________________________
Grade: 4 year old _____ K ____ 1st ____ 2nd ____ 3rd ___ 4th______
Parents Name: ________________________________
Parent Willing to Coach? ______ If yes, coach’s shirt size ______
Child’s shirt size: (circle) small (6-8) medium (10-12) large (14-16)
Adult small Adult medium Adult large Adult xlarge Adult xxlarge
**THERE WILL BE NO FORMS TAKEN TO THE SCHOOLS OR PICKED UP FROM THE SCHOOLS. REGISTRATION MUST BE IN BY AUGUST 15th IN ORDER TO GET SHIRTS. CALL WENDY GRASKEWICZ AT 288-1009 IF YOU HAVE ANY QUESTIONS.
Photo by Jarod Clarke
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