SOCCER
SESSION (circle one):	SESSION 1	SESSION 2
GROUP (circle one):	BOYS	GIRLS	HIGH SCHOOL
TYPE (circle one):	5 on 5	6 on 6
AGE GROUP:	U-___________________________________________
TEAM NAME:	_____________________________________________
DIVISION (circle one):	NCSL	WAGS	ODSL	RANK:
TEAM REP'S NAME:	_____________________________________________
STREET ADDRESS	_____________________________________________
CITY, STATE, ZIP CODE	_____________________________________________
PHONE (day):	_____________________________________________
PHONE (evening):	_____________________________________________
E-MAIL:	_____________________________________________
ALTERNATE REP'S NAME:	_____________________________________________
PHONE (day)	_____________________________________________
PHONE (evening):	_____________________________________________
E-MAIL:	_____________________________________________
TEAM FEE:	$_________

To register, print and fill out form and mail with payment to:
The Fairfax Sportsplex
6800 Commercial Drive
Springfield, VA 22151

The Fairfax Sportsplex reserves the right to change dates and times of leagues or to cancel games.
The Fairfax Sportsplex reserves the right to establish conduct and other rules and to terminate teams and individuals without fee reimbursement.