ATHENS UNITED SOCCER
WINTER INDOOR PROGRAM

Register today for our winter indoor program. Games only (no practices) Games played on Saturdays listed below - One game per weekend
Dates for games are:
Dec. 17th/ Jan. 7th/ Jan.14th/ Jan. 21th/ Jan. 28th
Games held at Clarke Middle School Gym (1235 Baxter St. in Athens)
Cost $50/Includes t-shirt
DEADLINE to register is November 30th-Space is Limited
Complete form below and return to office with payment
Our offices are located at 1071C Founder’s Blvd. Athens, Ga. 30606
Payments accepted are Cash, Check (made out to AUSA), Visa or Mastercard
………………………………………………………………………………………………………………

Player’s Name:___________________________________ Age: _______ Birthdate:___ /___ /___ Sex: Male or Female

Player’s Name:___________________________________ Age: _______ Birthdate:___ /___ /___ Sex: Male or Female

Address __________________________________________________ City _______________________ Zip ____________

Phone (H)______________________ (C ) ________________________ Email ____________________________________

Please Circle T-shirt size: YS / YM / YL / AS / AM / AL
In consideration of the application, I the undersigned, intending to be legally bound for my heirs, executors, and administrators, waive and release any and all rights and claims for damage that I might have against Athens United Soccer Association, Clarke County School District, Clarke Middle School and Georgia State Soccer Association and all of its affiliated