Golden Goal Soccer Team Registration

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Registration

Team Name

Managers Name
Or Primary Contact

Head Coach

Organization/Club

Address
Note: This address must match the billing address that is being used for a credit card payment.

City

State

Zip

Contact's Phone #

Alternate Phone #

FAX #

E-Mail

Comments

Select your age and gender (boys shaded grey) and desired date from the choices below:
ALL AGE GROUPS AS OF FALL 2007

Jun 28-Jul 4	Girls U13 Girls U14 Girls U15
Jul 5-11	Boys U13 Boys U14 Boys U15
Jul 12-18	Boys U11 Boys U12
Jul 19-25	Girls U12 Girls U13 Girls U14
Jul 26-Aug 1	Boys U13 Boys U14
Aug 2-8	Boys U12 Boys U14
Aug 9-15	Girls U11 Girls U12 Girls U13
Aug 16-22	Boys U10 Boys U11 Boys U12 Boys U13
Aug 23-29	Girls U10 Girls U11 Girls U12 Girls U13

Ages and corresponding weeks subject to change

$650 Each Player - See Players Area of web site for package details
Head Coach and guest referee attend free - - All other coaches $325 US

Receive scholarships for multiple team registrations
Email info@goldengoalsoccer.com or your Team Recruiter for details

A $200 Deposit will reserve your teams spot

Check

Checks payable to Golden Goal
Must be in U.S. dollars
Mail checks to:
Golden Goal
PO BOX 2310
Wilton, NY 12831

Credit Card

Card Number

Expiration Date

CCID Verification Code (found on back of credit card)

Name on Card

Promotional Code

Credit card will be charged $200 for team deposit - any further charges will require your authorization.

Golden Goal
PO BOX 2310
Wilton, NY 12831

For further assistance, please call
888-860-6311
Fax (Sep - Jun) 215.504.7028
Fax (Jun - Aug) 518.639.4067