Wattles Park Men's Club - Spring Soccer Signup

Games are played on Saturdays from May 5 - June 9

NAME _____________________________________________________   BIRTH (mo/day/yr) ______________

ADDRESS __________________________________________________  ZIP CODE 490 _________________

PHONE (primary) (269) _______________________________  PHONE (secondary) (269) __________________________

CIRCLE YOUR PRESENT GRADE:   PRE-K *    K    1     2    3    4    5     6    7    8   

* PRE-K is someone eligible for Kindergarten in September 2018 or September 2019

SCHOOL THAT YOU ATTEND____________________ CIRCLE:  MALE  FEMALE

PARENTS'/GUARDIANS' NAMES ____________________________(please print)

Email address _____________________________________________________

PLEASE CHECK:

____ ENCLOSED IS MY CHECK FOR $40. 

We are in constant need of adults to help coach and assist with teams.  We will provide coaches with training, materials, and clinics to help make your coaching a success.          

PARENTS' CHECK LIST:

____ COACH (for my child's team)             ____ ASSISTANT (for my child's team)      

 ____ CONCESSION WORKER (one time)

____ MEDICAL PERSONNEL - Although rarely needed, it's reassuring to know that there's someone in the stands who might be able to help if an injury or emergency occurs. Please consider being available by circling your profession: Doctor, Nurse, Police Officer, Firefighter, E.M.T., or list any other category.

Please print out and mail this form to:          Make all checks payable to "WPMC".    Questions??  Email Gary Lincoln at wpmc49@aol.com or call 979-4336

WPMC, c/o Gary Lincoln 
13166 11 Mile Rd.
Ceresco, MI 49033

Return to WPMC Spring Soccer.