PSC Training League Application

*Mother or Guardian Information*
Mother’s Name	Spring 2007 Ages Born Between
Address	Under-19	8-1-87 thru 7-31-88
City	Under-18	8-1-88 thru 7-31-89
State	Under-17	8-1-89 thru 7-31-90
Zip	Under-16	8-1-90 thru 7-31-91
Mother’s Email	Under-15	8-1-91 thru 7-31-92
Home Phone	Under-14	8-1-92 thru 7-31-93
Mother’s Cell Phone	Under-13	8-1-93 thru 7-31-94
Mother’s Occupation	Under-12	8-1-94 thru 7-31-95
*Father or Guardian Information*	Under-11	8-1-95 thru 7-31-96
Father’s Name	Under-10	8-1-96 thru 7-31-97
Address	Under-9	8-1-97 thru 7-31-98
City	Under-8	8-1-98 thru 7-31-99
State	Under-7	8-1-99 thru 7-31-00
Zip	Under-6	8-1-00 thru 7-31-01
Father’s Email	Under-5	8-1-01 thru 7-31-02
Home Phone	Under-4	8-1-02 thru 7-31-03
Father’s Cell Phone	Under-3	8-1-03 thru 7-31-04
Father’s Occupation	Under-2	8-1-04 thru 7-31-05

Please detach and keep for your information
     Team Track - 215 914 1100 Team 3500 Box 2
          Check before each practice and game all year long.
     PSC Website Main Page - www.philasc.org click on the In house/Training
           League Button. Also, hit the F-5 key and refresh each page you go on.

Player Name		Fee: Team U8-U14 Team U15-Adult 1st Child $125 $85 per player 2nd Child $100 3rd Child $50 Additional - No Charge Please fill in the form and then Print and Mail the form and a check payable to "Philadelphia Soccer Club" to: PSC Travel Soccer Teams 2119 Fulmer Street Philadelphia, PA 19115
Age on 7/31/06
Month of Birth
Year of Birth
Gender

*If you can help, please indicate in which area(s)*
Coaching Field Maintenance Snack Stand	Sponsor a Team (Cost $125) Check if you want to be notified when the travel team is being picked? Check if you want your child to stay in the in-house, if not selected for travel.