Thank you for registering for the 2009 - 2010 Soccer Season.  A representative from the soccer club will be contacting you in regards to your registration.  If you have any questions please email:   jwaggoner@neo.rr.com.


Please download and complete one of the following forms and send it to us with your deposit:

Recreational form

Travel form


Deposits Required to hold a position on a team:

Premier/Travel                $100
Recreational                    $25

Mail to:

Liederkranz Soccer Club
PO Box
8523
Mansfield, Ohio 44906
Make Checks Payable to :  LSC

All deposits must be received by July 2 for recreational and July 15 for Travel/Premier teams.


PLAYER INFORMATION

Player Name: ________________________________________________

Parents Name:  ________________________________________________

Address: _____________________________________________________

CIty/State/Zip: _________________________________________________

DOB: ____________________  Age/Div: ______________________  Boys or Girls  (circle one)

Home Phone: ______________________________________ 

Cell Phone: ___________________________________

Email Address: ______________________________________________________

Current Team/Coach:___________________________________________________

Returning Player:  YES or NO (circle one)

Amount of Deposit: _____________________________