TWIN VALLEY SUMMER CLASSIC REGISTRATION FORM
August 10 & 11, 2002

Club:____________________________ Team Name: ______________________________

Age Division:________________ Male_____ Female_____

Coach's Name: _____________________________________________________________

Street Address:______________________________________________________________

City/State: ________________________________________________Zip: ______________

Home Phone: _________________________ Fax Number: __________________________

Email Address: ______________________________________________________________

Asst. Coach: _______________________________________________________________

Street Address:______________________________________________________________

City/State: _______________________________________________Zip: _______________

Home Phone: ________________________ Fax Number: ___________________________

Email Address: ______________________________________________________________

Team's Shirt Color:_________________________

All teams are responsible for their own insurance. In the event of an accident or injury while in transit to, from or while participating in the tournament, TVSC will not be held responsible. My team(s) meet the criteria outlined in this brochure.

Coach's Signature:_____________________________________

Make checks payable to TVSC

Complete and return form by July 20,2001 to:
Twin Valley Soccer Club
C/O Paul Godown
P.O. Box 298
Elverson, PA 19520

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