NISL/NPL Registration 24-25

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
PLAYERS FIRST NAME
PLAYERS MIDDLE INITIAL
PLAYERS LAST NAME
PLAYERS ADDRESS

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
GENDER
PLAYERS PHONE NUMBER
Format: (000) 000-0000.
PLAYERS BIRTHDATE

MonthDayYear
Date
PLAYERS EMAIL ADDRESS
example@example.com
PARENT 1 NAME
PARENT 1 PHONE
Format: (000) 000-0000.
PARENT 1 EMAIL
example@example.com
PARENT 2 NAME
PARENT 2 PHONE
Format: (000) 000-0000.
PARENT 2 EMAIL
example@example.com
THIS PLAYING YEAR
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
DATE

MonthDayYear
Date
PARENTS SIGNATURE
DATE

MonthDayYear
Date
www.northernillinoissoccerleague.com. I www.NISL.info
Should be Empty:

NORTHERN ILLINOIS SOCCER LEAGUE