City of Plattsburgh Recreation, Sports, Leagues

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Indoor Soccer Waiver to move player up or down    

Tuesday, October 13, 2009 12:30 PM

City of Plattsburgh

Indoor Soccer

 

 

Waiver to move player up or down

 

 

I, ________________ permit my child _______________,

 

born: _______________,

 

to move from the ____________(ex: U-8/U-10) division

 

up/down (circle) into the _____________ division.

 

REASON: __________________________________________

 

 

-pending the City of Plattsburgh Recreation Leader’s consent.

 

 

__________________________________    ____________

Signature of Parent/Guardian                             Date

 

 

 

__________________________________    ____________

Signature of Recreation Leader                          Date

 

 

 

 

please print out and drop off to the Recreation Dept. (52 us oval)

 

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