AYSO Region 9 Adult League Application

Please make sure that ALL information in the Add/Edit Player Data window is complete and accurate.  Print a copy of this page (some browsers allow you to select Print Preview, Shrink to Fit) after you have clicked on Add or Submit.  Sign and date, then mail with your check, payable to AYSO Region 9 Adult League, to:
Mary Hobert, 41 Canfield Court, Thousand Oaks CA  91360, attn: Adult League
Please also include a signed copy of the Fair Play Pledge (ALL players) and Proof of Age (New Players).

Questions?  Need more information?  Contact Bob Tokin or Mary Hobert

 

Did You Play During the Fall 2008 Season? Enter your Last Name & Date of Birth then click the <Search> button If you did NOT play Fall 2008, skip down to the Add/Edit Player Data window Last Name Date of Birth (must be in the format mm/dd/yyyy)

Is This You? If yes, click on the PlayerID to display your information in the Add/Edit Player Data window If no,  skip to the Add/Edit Player Data window Total Records: 0 Player ID First Name Last Name Dateof Birth Gender City Home Phone EMail Primary No records Add New

Add/Edit Player Data Complete ALL information in the form below, then click on the <Add> or <Submit> button below Scroll back down to this window to make sure that there are no Error Messages in red  First Name    Last Name   Dateof Birth (mm/dd/yyyy)     Gender Select Value Male Female Street Address    City    Zip Phone Numbers (nnn-nnn-nnnn):  Home    Cell    Work Employer E-Mail:  Primary    Alternate Medical Insurance Carrier Emergency Contact:  Full Name    Phone (nnn-nnn-nnnn)  Season for which you are applying to play in  Select Value Winter 2009   In addition to playing would you like to:  Coach Select Value Yes No    Referee Select Value Yes No    Help Administratively Select Value Yes No Give us the Full Name of One (1) Player You Would Like to Have on Your Team: #1 We will do all we can to honor player requests for teammates, but we cannot guarantee that all requests can be honored? Drivers License Number The Fee for the Winter 2009 Adult League season is $40 for a returning Fall 2008 player, $80 for all others Today's Date (mm/dd/yyyy)     Payment Method Select Value Check Cash    Check #    Payment Amount Please help us out by rating your soccer skills on a scale of 1 (never played before) to 10 (semi-pro):   Select Value 1 2 3 4 5 6 7 8 9 10 Briefly describe your soccer experience:  Your rating and description will be very helpful to us in balancing our teams so that all will have an enjoyable experience. Enter all requested information above then click here -->   Scroll back down to this window to make sure that there are no Error Messages in red