Iwsl Player Registration

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IllinoisWomensSoccerLeague

POBox68849,Schaumburg,IL60168
8479854975 www.iwsl.com

PLAYERREGISTRATIONFORM
ForThePlayingYear20142015

CLUBNAME:

TEAMNAME:

TEAMAGE:

PLAYERSFIRSTNAME

LASTNAME:

PLAYERSADDRESS

CITY:

STATE:

ZIP:

PLAYERSPHONE

EMAILADDRESS

PLAYERSBIRTHDATE

FATHERSNAME

PHONE

MOTHERSNAME

PHONE

PROOFOFAGE:

PREVIOUSSEASONIWSLPASSID#
Or

PROOFOFAGEPROVIDED: GOVERNMENTISSUEDBIRTHCERT or PASSPORT


(Circleone)

BysigningthisdocumentIhaveindicatedthatI(ormychild)hasnotregisteredwithanyotherIYSA
registeredteamfortheaboveindicatedplayingyearandiscommittedtoplayforonlythisteam. Iam
awarethatIWSLleaguerulesonlypermittransfersifdesiredtootherclubsduringorafterthemonthof
JanuarywithanapplicablereleaseobtainedbyJanuary31standsubmittedperleaguerules.

PLAYERSSIGNATURE

DATE

PARENTSSIGNATURE

DATE

CLUB/COACHSIGNATURE

DATE

(Thisformistobekeptonfilebytheclubfortheentireplayingyearindicated)

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