PLAYER PASS/TRANSFER Instructions: Complete the Player information section and the appropriate section (s) below, return the form with the necessary signatures and the processing fee (if applicable-see appropriate sections to Naples Futsal Championship for Approval. YOUTH PLAYER INFORMATION LAST NAME ______________________________ FIRST NAME _____________________________ SEX _____ ADDRESS _______________________________________________________ CITY ________________________ STATE _____ ZIP CODE ____________ PLAYER’S TELEPHONE ___________________ BIRTHDAY _____/______/______ month day PHOTO year UPDATE EMAIL _________________________________________________________ PLAYER’S SCHOOL ________________________________________________ FATHER’S NAME _________________________________ CELLPHONE ___________________________________ MOTHER’S NAME ________________________________ CELLPHONE ___________________________________ PARENT’S SIGNATURE ___________________________________________ DATE _____/_____/______ month CLUB RELEASING THE PLAYER CLUB NAME ____________________________________________________ PRESIDENT’S NAME ___ ___________________________________________ PRESIDENT’S SIGNATURE __________________________________________ DATE _____/_____/_____ month day year OFFICIAL USE LEAGUE’S NAME : ___________________________________________________ PRESIDENT’S NAME : ________________________________________________ PRESIDENT’S SIGNATURE _________________________________________ DATE _____/_____/_____ month day year day year
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