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PROUD MEMBER OF

US Club Soccer Logo 2007 Championship Cup Logo

PrimeTime Sports Academy League Registration Form

* — Information is required.

* Team Name

* Division:     Arlington
Keller
Lake Cities (Corinth/Lake Dallas)

* Age Group, 2008-2009 soccer year (select one):
U7      U8      U9      U10(9v9)      U10(11v11)

* Gender:     Boys
Girls

* Head Coach
* Coach Email
* Coach Phone

* Team Contact Person
* Team Contact Email

You must provide at least two different contact phone numbers:
Phone (Home)
 Phone (Mobile)
 Phone (Work)
* Address
* City

 * State

 * Zip Code

PrimeTime Sports reserves the right to combine age groups if necessary, but we do not foresee needing to do so. If your team wants your entry conditioned upon not participating in a combined age group, please indicate that in the Schedule Request section below; otherwise you are consenting to playing in a combined age group if the circumstance arises.

All entries are subject to field availability and availability of spots in the age groups and skill divisions, even if your team registers prior to the deadline.

Team League Registration Fee:

U7 and U8 - $650, U9 and U10(9v9) - $750, U10(11v11) - $800

Scheduling Requests

The scheduling requests will be considered and addressed on a first submitted, first considered basis. The earlier a request is submitted and the more specific and narrow the request, the greater the likelihood the request may be accommodated. All requests must be submitted below or by email to soccer@primetimesportz.com or by fax to 972-874-2565. Phone requests can not be considered. If you have no scheduling requests, please skip down to the Survey. If you have a schedule request after the schedules have been posted, you must submit your request no later than one week prior to the conflicting weekend(s).

The Scheduling Request:

IS a condition of the team's participation? If it cannot be met, the team cannot participate. (If selected, this may prohibit the acceptance of your registration.)

Allows players/coaches to avoid conflicts or assists in travel from outside the area, but team will participate even if the request cannot be met.

Specific request - examples include 'No game September 16th', 'Avoid conflicts with our U8 team', and 'We want to play two games on October 14':

Reason for request - examples include, 'Will not play up', 'Coach has more than one team', 'Team is not local' '', etc.:

[this information must be included in Entry Form transmitted by email to PrimeTime Sports upon submission. No phone requests will be honored.]

Survey:

1. How did you learn about our league?

2. What was the biggest factor in your choosing to play in our league?

3. Should we consider giving awards to teams based on season record?

4. Are you interested in entering pre-season and/or post-season tournaments?

5. Do you have any suggestions for league rules, policies, procedures, etc?

Roster and Participation Agreement

In consideration of being allowed to participate, each participant and their legal representative, waive all claims for injury, accident or loss of any kind and hereby release PrimeTime Sports, LLC, all league sites, sponsoring organizations, and their employees, members and representatives from any claims or liability. As further consideration to participation, each participant and their legal representative consent to PrimeTime Sports taking photographs and video of participants at event sites, and PrimeTime Sports retains the right to use any such video or photographs for publicity and advertising.

This Agreement shall apply and extend to any and all events of PrimeTime Sports, LLC, held from August 1, 2008 through July 31, 2009.

By submitting this Entry, you are agreeing on behalf of the team named, to participate in and pay the league and player registration fees. To withdraw from the league, you must advise our office by fax or email. Any entry and withdrawal shall be subject to the policies and procedures of PrimeTime Sports and US Club Soccer.

As coach/manager, I will accept full responsibility for the conduct of my players, coaches, and spectators before during and after our games and will promote only the best sportsmanship among all of us, win or lose. I further agree that my players, coaches, managers, and spectators will be bound by the Rules and Policies of PrimeTime Sports, LLC.

To complete your entry, you must:

  1. Register your team, coaches, and players with US Club Soccer. You will receive complete instructions once you submit this registration form. There is a $12 per player fee due to US Club Soccer. DEADLINE - February 2, 2009
  2. Mail entry fee payment (money order or cashiers check - NO PERSONAL OR BUSINESS CHECKS) to PrimeTime Sports (c/o PrimeTime Sports Soccer), 3207 Justin Road, Flower Mound, TX 75028. You may also pay with credit card by calling 972- 355-3788. The entry fee must be received by February 2, 2009. If the entry fee is not received by February 2, your registration is subject to a late fee of $100.

Submission of your registration will take you to a page that describes the next step in the registration process. Please read that page thoroughly. If you have any questions, please email or call the League Director at soccer@primetimesportz.com or 972-355-3788





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