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ODYSSEY SPORTS

REGISTRATION FORM

PLEASE RETURN THE FOLLOWING:

  1. 1) O.S. Registration form
  2. 2) Waiver and Release form
  3. 3) Physical form
  4. 4) O.S. Policies form

MAIL TO:

Frank Stackiewicz
4101 Ruby Court
Murrysville, Pa 15668
 
PLEASE ENTER THE APPROPRIATE FEES ON THE LINES AT THE FAR RIGHT AND THEN TOTAL AT THE BOTTOM.

ODYSSEY SPORTS JUNIOR OLYMPIC FEE                          $875.00________

LESS non-refundable DEPOSIT received by O.S. on ______     -$250.00_______

*$50 discount for email confirmation and $250 deposit received by -_________ Nov.13 for 14&Under and Nov.20 for 15&up 27                         

*ALL PLAYERS ACCEPTING A POSITION ON A TEAM WILL BE ATTENDING Northeast Qualifier, Baltimore, MD

PRACTICE PLAYER (fee $175)                                                            ___________

BALANCE DUE (payment due dates Jan. 5, Feb. 5 and March 5           ___________                         

Please refer to payment dates. No refunds will be given.

PLEASE COMPLETE ALL OF THE FOLLOWING

PLAYER’S NAME ____________________________________________

STREET ADDRESS ____________________________________________

CITY,STATE,ZIP ____________________________________________

*EMAIL ADDRESS ____________________________________________
                                                Player                                                 parent

PHONE NO. ____________________________________________

BIRTHDATE/AGE/GRADE ____________________________________________

HIGH SCHOOL ____________________________________________

SHIRT SIZE ____________________________________________

SWEATSHIRT SIZE ____________________________________________

SHORTS SIZE ____________________________________________

NUMBER CHOICE 1ST_________ 2ND__________ 3RD___________

Numbers (1-99) will be given on a first come - first serve basis!

I HAVE READ ALL OF ODYSSEY SPORTS’ POLICIES AND I AGREE TO PAY ALL FEES AS STATED ABOVE. I UNDERSTAND THAT NO CASH REFUNDS WILL BE GIVEN. PLEASE SIGN BELOW.

________________________________________________________________________
Parent/Guardian                           Date                             Player                                  Date