| M.A.S.L. Middletown Adult Soccer League First Name:____________________ Last Name:____________________ Address:__________________________________________________ City:____________________ State:___________ Zip:_______________ Home Phone:_________________ Cell:__________________________ Email:____________________________________________________ Birthday (M/D/Y):___________ Age:_______ Gender _____M _____F Have you ever lived outside the US:______________ Have you ever been convicted of a felony:______________ If yes when:_______________________________ Experience level --------- Begin Intermediate_______Premier_____ Name of spouse to be placed on same team:________________________ League use only Team:____________________________ Preassembled ____Y_____N Jersey number:__________ Payment type:______________________Amount:_______________ Photo:_____Y_______N Signed rules:______Y______N Contact Information jabin lakes 513-464-8460 jabinlakes78@yahoo.com |
Adult League
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adult players.
Thank You
Thank You
We are still taking
registration for Adult
leagues. If you are
interested please contact
Jabin.
registration for Adult
leagues. If you are
interested please contact
Jabin.