Player Name: ________________________________________________________________
Players age: _____________________players grade:_______________________________
Parent: __________________________ phone #_________________________________
Street Address: _______________________________________________________________
Cost is $40 per player, checks must be made out to the Town of Monmouth. Please NO cash.
Open to all players, Pre-Kindergarten through sixth grade.
Physical limitations your child has: ________________________________________________
Shirt size: youth small youth medium youth large adult small adult medium adult large
Parent Signature: ______________________________________________________________
Complete the Registration / Emergency contact form and mail to:
Monmouth Recreation Director, Joe Fletcher, 859 main St., Monmouth ME 04259.
Director contact information: Joe Fletcher 207-330-8496 or "Joe Fletcher" <jfletcher@monmouthmaine.gov>
WAIVER: By my signature above I agree to hold harmless in the event of an injury or accident the Town of Monmouth and its recreation soccer coaching staff. I further acknowledge that I am aware that this sport is a contact sport and that there is a real chance for injury stemming from play.