NEBRASKA SOCCER LEAGUE
CLUB REGISTRATION FORM - FALL 2008
For informational and scheduling purposes, please complete all applicable information on this form and submit it electronically to the Nebraska Soccer League Office. (Fall 2008). 
Fields with an "*" are required.
Please enter "N/A" for any fields which do not apply to the club.

Club Name*                
if other please specify   


President's Name*        
President's Home Phone*  
President's Work Phone*  
President's Cell Phone*  
President's Address*     
                         City*  State*  ZIP* 


Registrar's Name*        
Registrar's Home Phone*  
Registrar's Work Phone*  
Registrar's Cell Phone*  
Registrar's Address*     
                         City*  State*  ZIP* 


Treasurer's Name*        
Treasurer's Home Phone*  
Treasurer's Work Phone*  
Treasurer's Cell Phone*  
Treasurer's Address*     
                         City*  State*  ZIP* 


Nebraska Soccer League Rep's Name*        
Nebraska Soccer League Rep's Home Phone*  
Nebraska Soccer League Rep's Work Phone*  
Nebraska Soccer League Rep's Cell Phone*  
Nebraska Soccer League Rep's Address*     
                                          City*  State*  ZIP* 


If you have fields available for Nebraska Soccer League play through your Club, please indicate
the number of fields available* 

Please indicate the size of each field available*


Please indicate the 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*        
Home Phone*  
Work Phone*  
Cell Phone*  
Address*     
             City*  State*  ZIP* 


Does your Club have a Referee Coordinator responsible for Scheduling referees for Nebraska Soccer 
League games?
If so, ho is that person?
Name*        
Home Phone*  
Work Phone*  
Cell Phone*  
Address*     
             City*  State*  ZIP* 


Email of the person responsible for completion of this form* 
A Confirmation will be sent to this email.