THE GREAT LAKES SUMMER SOCCER LEAGUE An Advanced Developmental Youth Soccer League **players must have prior experience** For boys and girls ages 6-15 (as of 9-30-2015) Players may be moved based on Ability Levels at Directors Discretion STAFF WILL INCLUDE NPSL coaches, local college players, and Admiral staff coaches Practices on Mondays, games on Wednesdays and Saturdays All sessions at Family First Sports Park SEASON: JUNE 22 to JULY 25 Registration is $95 before May 1st ($105 after May 1st) $10 discount for additional family members Team Sponsorship available for $200.00 For more information contact: Director: Sam Tojaga at [email protected] ------------------------------------------------------------------------------------------------------------------------------Please send form and payment to: Sam Tojaga, 5132 Annendale Drive, Erie PA 16506 Name: _____________________________________________ Phone: __________________ Email:_______________________________________________ Age as of 9-30-15: ________ Gender: M / F T-Shirt size: _____________ ___________________

Soccer experience:

Player Teammate Request: ______________________________________________________ GENERAL RELEASE: I understand there are risks associated with my child's participation in the GLSS. I hereby release and waive any possible claims against the GLSS, it's staff, Family First Sports Park, and any other persons associated with the league for any damages, injuries or loss of equipment that my child might sustain in the course of the program or while going to or coming from the program. I agree that my child will abide by all rules and regulations set forth by the GLSS and it's Directors and that my child will not engage in any reckless or unsatisfactory behavior. I agree to give up my rights to sue GLSS or anyone associated with the GLSS if my child sustains any injury while participating in the GLSS activities.

PARENT SIGNATURE: _______________________________________ Date: ____________