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2010 <br />........... <br />Fall Girls Soccer <br />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 />It's time to plan ahead and register for Fall Soccer! <br />> Fall Girls Soccer is open to girls entering grades three through six <br />> Teams are coordinated and led by volunteer coaches. <br />> Practice held at neighborhood parks on week nights, games scheduled on Satui-days, <br />beginning 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 lits are based on the response from volunteers. <br />(see other side for Coed Soccer) <br />Grade is made going into this fall. Registration deadline July 29!!! Fees through July 29: <br />Regular $50, Roseville Resident $42 Registration after July 29 will only be accepted if there is space <br />available and fees will be Regular $60, Roseville Resident $52. <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 information and a coaching application, call 651-792-7006 by July 16. <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 city <br />attorney, insurer and auditor. Although you are not legally required to disclose this information, failure to do so will prevent you <br />from participating in the program. <br />Girls Fall Soccer Registration - Roseville Parks & Recreation - 2660 Civic Center lir. - Roseville, MN 55113 <br />Please fill out form completely Players Date of Birdi __________________________ <br />Yes, I would be interested in coaching my child's team: Email <br />Name Parent Name <br />Home Phone <br />Address <br />School <br />Fall Grade <br />Grade 3-4 (#2350.357) Girls <br />Grade 5-6 (#2350.359) Girls <br />Parent Work Phone <br />City <br />Place on team with (one name only) <br />Method of PavYnent: <br />Account Number <br />Expiration Date <br />Name on Credit Card <br />Signature <br />Lip <br />Cash Check Visa MasterCard <br />Fee Enclosed <br />