PEEL
HALTON SOCCER LEAGUE INC.
TEAM OFFICIALS APPLICATION FORM, 2008 OUTDOOR
SEASON
(PLEASE PRINT CLEARLY)
Club
Name: ____________________________________________________________________________________
Team
Name: ____________________________________________________________________________________
During 2007 Outdoor Season This Team Played In:
______________________________________________League
Please circle one:
Mens Team I.D. ___________________________
CLUB
INFORMATION:
Club
Officials Name: ____________________________________Telephone:
Daytime: (___)___________________
Address:
_______________________________________________ Telephone: Evening: (___)___________________
City_____________________Postal
Code:_____-______Cell (___)___________________Fax
(___)_______________
Email: ______________________________
TEAM INFORMATION:
Coach's
Name: _________________________________________
Telephone: Daytime: (___)____________________
Address:
_______________________________________________ Telephone: Evening: (___)___________________
City_____________________Postal
Code:_____-______Cell (___)___________________Fax
(___)_______________
Certification:
Level:______________ Number:____________________
Email: __________________________________
Ass't Coach Name:
______________________________________ Telephone: Daytime: (___)____________________
Address:
_______________________________________________ Telephone: Evening: (___)___________________
City______________________Postal
Code:_____-______Cell (___)___________________Fax
(___)_______________
Email: __________________________________
Manager's
Name: _______________________________________
Telephone: Daytime: (___)____________________
Address:
_______________________________________________ Telephone: Evening: (___)___________________
City______________________Postal
Code:_____-______Cell (___)___________________Fax
(___)_______________
Email: __________________________________
Trainer's
Name: ________________________________________
Telephone: Daytime: (___)____________________
Address:
_______________________________________________ Telephone: Evening: (___)___________________
City_______________________Postal
Code:_____-______Cell(___)___________________Fax
(___)_______________
Email: ___________________________________
Team
Contact: Name______________________ Tel: (___)____________________ Fax : (___) ____________________
Email: __________________________________
Team
Colors:
Alternate
Colors:
Jersey___________________________/Shorts__________________/Socks__________________/
Club Application: The ________________________________Soccer
Club hereby applies to play in the Peel Halton Soccer League Inc., during the
2008 season and agrees to abide by the Constitution and Rules and Regulations
of the Peel Halton Soccer League Inc., and the Ontario Soccer Association.
Print
Name:_______________________
Signature of Club Official:_____________________Date:_____________
Deadline
for submission of Team Application Form with Entry Fee is:
Entry Fee
is $ 400.00 plus a Performance Bond
of $ 500.00 is required for a total
of $ 900.00.
Please list below the
tournaments your team is planning to attend or any other anticipated important
dates that require consideration in rescheduling. Rescheduling requests will
not be entertained as per Rule 6G.
1. Date: From _____________To_____________ Details:___________________________________________________
2. Date: From _____________To_____________ Details:___________________________________________________
3. Date: From _____________To_____________ Details:___________________________________________________
4. ONTARIO CUP:
Please circle one: YES NO