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Roseville Parks <br />and Recreation <br />651-792-7006 <br />Register online @ <br />www.cityofroseville.com/ <br />parks <br />Fax Registration <br />651-792-7100 <br />2010 <br />C61 T Y-1 <br />Fall Coed Soccer <br />It's time to plan ahead and register for Fall Soccer', <br />> Fall Coed Soccer is open to boys & girls entering grades kindergarten through eight <br />> Teams are coordinated and led by volunteer coaches. <br />> Practice held at neighborhood parks on week nights, games scheduled on Saturdays, <br />starting September 11 <br />> Practices begin the week of August 23 <br />> Everyone participating receives team shirt <br />> All players must wear shin guards <br />Program size and registration limits are based on the response from volunteer coaches. <br />(see other side for Girls Soccer) <br />Volunteer coaches are needed to work with teams in each age group! <br />Children of volunteer coaches receive 50% discount of soccer registration fees. <br />For i4ornlation and a coaching application, call 651-792-7006 byjuly 16. <br />Grade is grade entering this fall. Registration deadline July 29!!! Fees through July 29: <br />Regular $50, Roseville Resident $42 Any registrations after <br />July 29 will only be accepted if space is available and the fees will be <br />Regular $60, Roseville Resident $52. <br />Tennessen Warning: The information requested on registration form will be used to verify eligibility and determine staff, <br />facility, and equipment needs.Your name, address, & telephone number will be provided to the city staff, volunteers, the <br />city attorney, insurer and auditor. Although you are not legally required to disclose this information, failure to do so will <br />prevent you from participating in the program. <br />Coed Fall Soccer Registration - Roseville Parks & Recreation - 2660 Civic Center Dr. - Roseville, MN 55113 <br />Please fill out form completely. Players date of birth ____________________ <br />Yes, I would be interested in coaching my child's team: Email <br />Name Parent Name <br />Home Phone Parent Work Phone <br />Address City Lip <br />School <br />Fall Grade <br />Grade K <br />(#2350.354) <br />Grade 1-2 <br />(#2350.355) <br />Grade 3-4 <br />(#2350.356) <br />Grade 5-6 <br />(#2350.358) <br />Grade 7-8 <br />(#2350.360) <br />Place on team with (one naive only) <br />Method of Payment: Cash Check Visa MasterCard <br />Account Number <br />Expiration Date <br />Name on Card <br />Signature <br />Fee Enclosed <br />