NEBRASKA SOCCER LEAGUE

CLUB INFORMATION FORM

 

For informational and scheduling purposes, please complete all applicable information on this form and return with your club's Team Registrations.  (Fall - 2008)

 

CLUB NAME_______________________________________________________________________

 

PRESIDENT_________________________H.PH_____________W.PH____________C.PH_________

 

ADDRESS_______________________CITY_____________ST____________ZIP________________

 

REGISTRAR_________________________H.PH____________ W.PH____________C.PH_________

 

ADDRESS_______________________CITY_____________ST____________ZIP________________

 

TREASURER_______________________H.PH______________W.PH____________C.PH_________

 

ADDRESS_______________________CITY_____________ST____________ZIP________________

 

NEBRASKA SOCCER LEAGUE REP___________________________________________________

 

ADDRESS_______________________CITY_____________ST____________ZIP________________

 

HOME PH #____________________WORK PH #____________________CELL PH #_____________

 

If you have fields available for Nebraska Soccer League play

Through your Club, please indicate # of fields available _____________________.

 

Size of each field available______________________________________________________________

____________________________________________________________________________________

 

Days of the week each field is available____________________________________________________

____________________________________________________________________________________

 

Do you have a person(s) responsible for making decisions about

the playability of your fields in case of inclement weather?

 

If so, who is that person?  Name___________________________________________________________

 

Address______________________________________________________________________________

 

Home Phone #____________________Work Phone #___________________Cell Phone #____________

 

Does your Club have a Referee Coordinator responsible for

Scheduling referees for Nebraska Soccer League games?

 

If so, who is that person?  Name___________________________________________________________

 

Address______________________________________________________________________________

 

Home Phone #____________________Work Phone #___________________Cell Phone #____________