Lower
Columbia Women’s Soccer Association
NAME __________________________ BIRTHDATE
_________________ PHONE ___________
ADDR __________________________________
CITY __________________ ZIP ________
TEAM(s) ______________________________ Over 30 Over 40
EMAIL ___________________________________
Included in league
emails? Yes No
I agree to abide by all the
rules and regulations while a registered member of LCWSA and WSSA. I understand that I will be subject to a
fine for any violations.
Player
Signature _______________________________
Date _________________
-----------------------------------------------------------------------------------------------------------
Lower
Columbia Women’s Soccer Association
NAME __________________________ BIRTHDATE
_________________ PHONE ___________
ADDR __________________________________
CITY __________________ ZIP ________
TEAM(s) ______________________________ Over 30 Over 40
EMAIL ___________________________________
Included in league
emails? Yes No
I agree to abide by all the
rules and regulations while a registered member of LCWSA and WSSA. I understand that I will be subject to a
fine for any violations.
Player
Signature
_______________________________
Date _________________
------------------------------------------------------------------------------------------------------------
Lower
Columbia Women’s Soccer Association
NAME __________________________ BIRTHDATE
_________________ PHONE ___________
ADDR
__________________________________ CITY
__________________ ZIP ________
TEAM(s) ______________________________ Over 30 Over 40
EMAIL ___________________________________
Included in league
emails? Yes No
I agree to abide by all the
rules and regulations while a registered member of LCWSA and WSSA. I understand that I will be subject to a
fine for any violations.
Player
Signature
_______________________________
Date _________________