Coppell Youth Soccer Association Spring Registration Form. sponsored by: Player Name: Fall Team Name: League (U5B, U6G, ETC.): SPECIAL REQUEST AVAILABLE: CHECK APPROPRIATE SPACE Move player up into higher age category. Play with sibling in same age category. (Older child age group applies.) Place player back into draft. Girl to play on co-ed team. Head coach requesting his/her child to play on their team. (If child currently registered on team, child may not move to new team for one year.) N/A - new player. PLEASE ADVISE OF ANY CHANGES IN: Address: Home Phone: Work Phone: A form must be submitted for each player. Will accept a single check payment for multiple players. Please make check payable to CYSA. NO CASH PLEASE!! Bottom portion to be completed by CYSA.

Registration Fee - $35

Non-Res/Coppell Fee - Addl. $10

Late Fee - Addl. $10

Total Rec'd: ..................... Rec'd By:
Date:......... Check #: ......... Posted:

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CHOOSE ONE OF THE FOLLOWING SIGN-UP OPTIONS 1. Complete the upper portion of this form, print it out and drop it and the appropriate fee off at the CYSA Office, 509 W. Bethel Road, located in back of the Art Annex, by January 14, 1999. 2. Print out and mail the form and appropriate fee to: CYSA, P.O.Box 354, Coppell, TX 75019. Must be received on or before January 14, 1998. 3. Print this form bring it and the appropriate fee to walk-in registration: Saturday, January 9, 1999, 9:00 am - 3:00 pm at Austin Elementary Cafeteria; Tuesday, January 12, 1999, 6:00 pm - 8:00 pm at the CYSA Office; Wednesday, January 13, 1999, 6:00 pm - 8:00 pm at CYSA Office.

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