Individual Registration Form (all fields are required) Date: ________________________ Player Name _______________________________________________________ Street Address _____________________________________________ City _________________________ ZipCode ___________________ Mobile Phone _______________________________ Email ________________________________________ Birthday_____________________________________ Age___________ Sex ________M_________F Select all that apply: Men_______________ Women ___________ CoEd_______________ Youth______________ Cost: Adult Individual fee $100.00 includes Ref (8 games plus final) Youth Individual fee $65.00 includes Ref (8 games plus final) Payment by: Cash____ Money Order_____ Check_____ Amount: $__________________ • A copy of the waiver for each player must accompany the registration form.
• Games are only the day and time scheduled
• Individual players will be placed as part of a the House team, a captain will be chose by
the team once formed for communication purposes.
• All players need to be registered before first game
• Players for final, need to have played a minimum four games during the season
• Other rules and regulations apply, please refer to the Leagues description document and
game rules published at the website: www.indoorsoccer59.com.
• Please send a the registration form to [email protected], or visit the
facility; a confirmation email and/or receipt will be send to confirm availability and payment
of the registration fee as an enrolled individual.
• Information provided to the IndoorSoccer59, will be keep confidential, for internal use only
and to communicate only necessary information related to Players.
7115 Clarewood Drive, Houston Texas 77036 (Fwy 59 –exit Bellaire); www.indoorsoccer59.com; (713) 270 4300