2009 Bi-County Soccer Callout
There will be a Bi-County Soccer call out on April 28th from 5-8pm at the West Lebanon Town Hall, May 7th
from 5-8 pm at the Attica High School, and May 14th from 6-8pm at Arni’s in Williamsport for any child ages
4-15, before August 1, 2009, interested in playing soccer for the 2009 season. If you are unavailable to make to any
sign up, you may mail your registration and check to:
Bi-County Soccer Association Or Contact a board member:
Beth or Chris Erwin 585-6477/585-0765
C/O Beth Erwin Shawn Crawford 918-2744
527 Ave 7 Missy Lanham 762-0565
Attica, In 47918 Tammy Waters 585-2704
Ted Cooper 490-8131
Sharon Remaly 585-6199
Jackie Cooper
The cost for registering is $10 per child. Please make checks payable to: Bi-County Soccer Association. Any one
signing up after July 1, 2009 will be subjected to a $10 late fee and will not have a shirt by the first game. NO
REFUNDS, NO EXCEPTIONS!!!!! Anyone signing up after July 15, 2009 will not be able to order a shirt through
Bi-County Soccer. If ordering parent shirts, those need paid for when ordering.
This is a Bi-County Soccer League so we will be combining children from all schools. We will make every effort to
place your child on a team from your area, but we will not make any promises. Check out the Bi-county website at
www.bicountysoccer.com
Name:_____________________________________Birthdate:_____________Age:____
Address:__________________________________ Phone Number:_________________
School:_________________________ Parent’s Name:___________________________
Shirt Size: Age group sign up: 4-6____
_____child extra small (2-4) _____adult small 6-10___
_____child small (6-8) _____adult medium 10-15__
_____child medium (10-12) _____adult large
_____child large (14-16) _____adult x-large
Family member shirt (These shirts are $12 each and must be paid for when ordering):
Child x-small_____, child small____, child medium_____, child large_____,
Adult small_____, adult medium_____, adult large_____, adult x-large______,
Adult 2x-large_____, adult 3x-large_____
What you want on back (example: Tristian’s Mom with child’s number or Megan’s Dad with child’s number)
_______________________________________________________
Please indicate if your child needs to be on a certain coach’s team or another child’s team. Please put full names of
the other child. ________________________________
If you are interested in any of the following please check:
Coach_____ Asst. Coach:_____ Referee:_____ Sponsoring a team:_____
By signing this paper you indicate understanding that Bi-County Soccer does not provide insurance for injuries to
players. I also understand that by participating in this league, my child’s picture may appear on the Bi-County Soccer
website _____________________________________________
Child cannot participate without a signature above!