WINTER INDOOR PROGRAM
Register today for our winter indoor program. Games only (no practices) Games played on Saturdays listed below - One game per weekend
Dates for games are:
Dec. 17th/ Jan. 7th/ Jan.14th/ Jan. 21th/ Jan. 28th
Games held at Clarke Middle School Gym (1235 Baxter St. in Athens)
Cost $50/Includes t-shirt
DEADLINE to register is November 30th-Space is Limited
Complete form below and return to office with payment
Our offices are located at 1071C Founder’s Blvd. Athens, Ga. 30606
Payments accepted are Cash, Check (made out to AUSA), Visa or Mastercard
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Player’s Name:___________________________________ Age: _______ Birthdate:___ /___ /___ Sex: Male or Female
Player’s Name:___________________________________ Age: _______ Birthdate:___ /___ /___ Sex: Male or Female
Address __________________________________________________ City _______________________ Zip ____________
Phone (H)______________________ (C ) ________________________ Email ____________________________________
Please Circle T-shirt size: YS / YM / YL / AS / AM / AL
In consideration of the application, I the undersigned, intending to be legally bound for my heirs, executors, and administrators, waive and release any and all rights and claims for damage that I might have against Athens United Soccer Association, Clarke County School District, Clarke Middle School and Georgia State Soccer Association and all of its affiliated