NISL/NPL Registration 23-24

NORTHERN ILLINOIS SOCCER LEAGUE
545 Consumers Avenue, Palatine, IL 60074

Telephone # 847-398-4545 ext 106-108
30 YEARS OF EXPERIENCE IN ADMINISTRATION & DEVELOPMENT OF COMPETITIVE YOUTH SOCCER WE PROVIDE THE BEST SERVICE TO THE BEST ORGANIZATIONS
AGE DIVISION
Please enter your player's birth year
TEAM NAME*
GENDER OF TEAM*

MALEFEMALE
PLAYERS FIRST NAME*
PLAYERS MIDDLE INITIAL
PLAYERS LAST NAME*
PLAYERS ADDRESS*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
GENDER

MALEFEMALE
PLAYERS PHONE NUMBER*
PLAYERS BIRTHDATE*

MonthDayYear
Date
PLAYERS EMAIL ADDRESS*
example@example.com
PARENT 1 NAME*
PARENT 1 PHONE*
PARENT 1 EMAIL*
example@example.com
PARENT 2 NAME
PARENT 2 PHONE
PARENT 2 EMAIL
example@example.com
THIS PLAYING YEAR*

THIS PLAYER IS NOT REGISTERED WITH ANY OTHER US CLUB SOCCER REGISTERED TEAM / CLUB
I UNDERSTAND THAT BY SIGNING THIS DOCUMENT I (OR MY CHILD) IS OBLIGATED TO PLAY FOR ONLY THIS TEAM UNTIL AN APPLICABLE RELEASE FOR ANOTHER TEAM OR CLUB IS OBTAINED
PLAYERS SIGNATURE

Clear
DATE

MonthDayYear
Date
PARENTS SIGNATURE*

Clear
DATE*

MonthDayYear
Date
www.northernillinoissoccerleague.com. I www.NISL.info
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NORTHERN ILLINOIS SOCCER LEAGUE