Age Group: U8M 2/2 AM U10G 2/2 NOON U10B 2/2 NOON U12G 2/3 AM U12B 2/2 PM U13G 2/2 PM U13B 2/3 AM U14B 2/3 NOON

Club Name: Colors:

Team Name: Coach:

Street Address:

City, State, Zip Code:

Home Phone: - -

Work Phone: - - Ext.:

E-Mail Address:

Roster Form

This form may be filled out on-line, printed out, signed and mailed along with a check for $225.00 to: Joe Birdsall, 59 Neelytown Road, Campbell Hall, NY 10916. Make check payable to the Goshen Soccer Club. All registrations must be received by January 15, 2008 or your team will not be registered for the tournament. All divisions are filled on a first come first served basis.  Only a check reserves your spot.

*Players passes will be checked
**All teams must bring an alternate shirt.

WAIVER OF LIABILITY: Each club/team acknowledges that soccer is a contact sport and that they are participating in this tournament at their own risk. Each club/team agrees that the Goshen Soccer Club cannot accept any responsibility or liability for any injuries during the tournament and that each club/team will be responsible for their own players and coaches for any injuries that may occur. It is the responsibility of each club/team to inform all participants and their parents and/or guardians of the above.

SIGNATURE OF COACH