Soccer League
Pre-Registration
Pre-registration Form
Soccer League
 Today's
Date
Grand Hamptons
Seven Oaks
Please complete the following application. Do not leave any space blank. If a space does
not apply to you please enter N/A. Thank you.
2011 Soccer league
Are you interested in coaching? (No experience needed) Must attend 1hr coach training course.
Yes, I want to coach
No, I do not want to coach
 Maybe, If you need me
Parent's Name
Email        example tom@aol.com
Last
 First
Parent's Name
Email        example tom@aol.com
Last
 First
Child's Name
 Age
Last
 First
Age
Last
 First
Age
Last
 First
Age
Last
 First
Address
Street
 City
State
Zip
Phone
Work
Home
 Cell
Area Code
 Area Code
 Area Code
Emergency
Contact
Home
Area Code
Last
 First
Someone other than yourself we can contact in case of emergency.
Child's shirt size
 Child's shirt size
YL
S
M
L
XL
XXL
Child's shirt size
 YL
S
M
L
XL
XXL
 YL
S
M
L
XL
XXL
Child's shirt size
YL
S
M
L
XL
XXL
Upon completion of this application a $75.00 deposit is required to
register your child. (waived registration fee & league fee )
Please send check or money order to:               
                      
Make check payable to:    
PROtential Sports
19046 Bruce B Downs Suite 83
Tampa FL 33647

Or pay with Credit Card after submitting information
Please review your
answers and make
sure every space is
filled. Then submit.
2011
The registration system is based on a first come first serve basis with limited space available. Please check all weeks
your child will be attending. Thank You
Fall 2011 Soccer League Skills
Evaluations will be conducted on
September 10 and September 17 at
Seven Oaks from 9 AM until 11 AM