www.snflive.com * 8320 Quarry Road * Manassas, VA 20110 * 703.335.1555 Team Name: __________________________ Team Contact Name: ________________________ Address: ___________________________City: _______________State:________ Zip: ____________ Home Phone: (____) ___________Cell Phone: (_____) ______________Work: (____) ___________ Email Address: ____________________ Billing Name: _______________________________________________________________________ Billing Mailing Address:________________________________________________________________ (If different from above) Permission to receive text messaging? YES or NO (please circle) How did you hear about this program? ___________________________________________________ SNF Winter Leagues & Tournaments Program: Ages: U9- U19 Soccer Futsal Puma Premier Turkey Shootout Cobra Cup Spring Break Mar 27 – Apr 4 Thanksgiving Nov 28 – 29 Winter Break Dec 26 – Jan 3 $250 $250 $250 Condor Cup U15 – U19 MLK Jan 18, 2010 (HS ONLY) Soccer Winter I $ 835* Soccer Winter II $ 805* Futsal Winter I $ 735* Futsal Winter II $ 725* Summer I $ 405* Summer II $ 405* High School Winter I $ 60 per player High School Winter II $60 per player High School Summer I $45 per player High School Summer II $45 per player * Note: These are Open Rates. Priority and Late registration rates are applicable $250 Session I Youth Winter Session I (U9 – U15): November 14, 2009 – January 2, 2010* HS Winter Session I (U16 – U19): November 2, 2009 – December 30, 2009 *Note: No games on Thanksgiving and Christmas weekends Session II Youth Winter Session II (U9 – U15): January 9, 2010 – March 14, 2010 HS Winter Session II (U16 – U19): January 4, 2010 – February 19, 2010 Registration Type Registration Deadline Cost Cost Soccer (Turf) Futsal (Hard Court) Games Priority Aug 31, 2009 $795/per team $680/per team 7 Open Sept 30, 2009 $805/per team $725/per team 7 Late Oct 31, 2009 $835/per team $750/per team 7 Package Name & Rate: *Below Rates DO NOT apply to H.S. Youth Soccer Package Includes: Youth Futsal Package Includes: High School Soccer Package Includes: Save up to $100!* Goal Kick $1,005 SAVE $50! Soccer Session I Turkey Shootout $1,005 Futsal Session I Turkey Shootout $925 Soccer Session 1 Turkey Shootout Corner Kick $1,005 SAVE $50! Soccer Session II Cobra Cup $1,005 Futsal Session II Cobra Cup $925 Soccer Session II Cobra Cup Penalty Kick $1,005 SAVE $50! Soccer Session I or II (circle one) Puma Premier $1,005 Futsal Session I or II (circle one) Puma Premier $925 Soccer Session I or II (circle one) Condor Cup Free Kick $1,230 SAVE $75! Soccer Session I or II (circle one) PLUS Choice of 2 Tournaments $1,230 Futsal Session I or II (circle one) PLUS Choice of 2 Tournaments $1,150 Soccer Session I or II (circle one) PLUS Choice of 2 Tournaments Save $75 Drop Kick $1,785 SAVE $100! Soccer Session I & II Puma Premier $1,785 Futsal Session I & II Puma Permier $1,600 Soccer Session I & II Puma Premier Kick Off $1,985 SAVE $125! Soccer Session I & II PLUS Choice of 2 Tournaments $1,985 Futsal Session I & II PLUS Choice of 2 Tournaments $1,825 Soccer Session I & II PLUS Choice of 2 Tournaments * HS Teams that register for 1 tournament Save $50, 2 tournaments Save $75, 3 or more tournaments Save $100 TEAM INFORMATION In order to maximize your team’s playing experience, please fill out ALL the information below. Team will be placed into divisions by Sports Network and Fitness based upon the information given. Any false information can lead to your team forfeiting the season and/or removal from the league. Sports Network and Fitness reserves the right to place teams in any division they choose. Teams will not be allowed to move out of the divisions in which they are placed. There are no refunds and no games will be rescheduled in season. Use one form per team. SNF is not responsible for forfeits. Incomplete applications will not be accepted into the league: TEAM EXPERIENCE League Name ________________________ League Type (circle one): Female Male Skill Level (circle one) Travel Club/Team Name ________________________ Division: _______ Recreational Actual Age Group (circle one): U9 U10 U11 U12 U13 U14 U15 U16 U17 U18 U19 Outdoor league last completed _____Age Group ______Division _____Placed____Record_____ Outdoor league currently playing____Age Group______ Division______Placed_____Record___ Desired Age Group (circle one): U9 U10 U11 U12 U13 U14 U15 U16 U17 U18 U19 All bye requests MUST be submitted via email to [email protected]. Please call 703-335-1555 to insure receipt. TEAM MANAGER INFORMATION Team Manager’s Name _____________________Manager’s Email _____________________ Manager’s Address______________________________________________________________ Manager’s Phone (H) _____________________________(C) ___________________________ TEAM COACH INFORMATION Coach’s Name _________________________________ Coach’s Email ___________________ Coach’s Address ______________________________________________________________ Coach’s Phone (H) __________________________(C) _______________________________ PAYMENT INFORMATIONPlease return this application along with a $200 non-refundable deposit to apply for a league spot. Complete payment must be paid by November 1st. Teams that register during the late registration period are subject to an additional $30 late fee. Leagues are filled on a first come, first serve basis. Acceptable forms of payment are check, cash, Visa or MasterCard. Refund Policy: If the league you request is filled, we will return your deposit. If games are cancelled due to inclement weather or any other unforeseeable circumstances, we will attempt to reschedule play at a later date. However we cannot guarantee that cancelled games will be rescheduled. There are no refunds. l Payment Credit Card # __________________ Exp ______________ Code _____________ Amount _____________________
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