Sponsors
  • OAM/Metro Sports Medicine
  • Accurate Quality Inspections
  • Micandy Gardens
  • Degraaf Interiors
  • Berger Cheverolet
  • Advanced interiors
  • Mike Loney - Edward Jones
  • Tony Scholten Realtor
  • Advanced Asset Management
  • Grand Rapids Motorcar
  • Hulst Jepsen Physical Therapy
  • Buffalo Wild Wings

 

 

 

 

    

 

 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

 

 
 

3v3 Registration Form

MICHIGAN FIRE JUNIORS REGIONAL 3 V 3 SOCCER BLAST

SPONSORED BY:  OAM/Metro Sports Medicine

 

July 11 & 12, 2014

July 13th will serve as a rainout date

 

Cost:  $250 per team due in full at time of registration

Registration ends July 1

No Refunds

Make Checks payable to:

Michigan Fire Juniors

PO Box

Hudsonville, MI  49416

 

GENDER (circle):  Male     Female

AGE DIVISION (circle):  U8  U9  U10  U11  U12  U13  U14  U15

Age is determined by the oldest player as of July 31, 2014.  Example:  to play U12 you must be 11 (or younger) on July 31.

 

TEAM NAME:______________________________________________________________________________

 

TEAM CONTCT PERSON:_____________________________________ PHONE: (    )__________________

 

E-MAIL:__________________________________ ALT. PHONE (   )______________________

 

ADDRESS: ____________________________________________________________________

 

CITY/STATE: __________________________________________ZIP: _____________________

 

Team Roster:  Please list each player and their birthdate

____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

 

Checks and credit cards accepted for payment. If paying credit card there is a 3.5% fee, please complete the information below and send form to above PO Box.

 

MC or Visa: __________________________________

Name on Card: _______________________________        Signature_______________________________

Card #: _____________________________________

Expiration date: __________________

 

QUESTIONS:  Tournament Registrar:  Mary Jo Messenger

                                                                  mjmessenger@comcast.net

             

            


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