|
Western Sports Mall
Forms
Team
Registration (Printable
Form)
WESTERN SPORTS MALL
SOCCER TEAM REGISTRATION
Mail to:
The Western Sports Mall
2323 Ferguson Road, Cincinnati, Ohio 45238
513-451-4900
Team Name/ Color________________________
Outdoor Organization________________________
Outdoor level of soccer played________________________
Age Group (see chart)_________
Check One: [ ] M [ ] F [ ] Co-ed
Coach Name:
_______________________________________
Address: ___________________________________________
City/state/Zip: _______________________________________
Day Phone: _______________ Night Phone: _______________
Cell __________________
E-mail _______________________
Field Choice, if applicable (Circle
One)
1 = Small Field
2 = Large Field
Competition Level Preferred (Circle
One)
A = Upper Level Select
B = Lower Level Select
C = Upper Level Recreational
D = Lower Level Recreational
Session:
_Spring Summer
Fall 1_
Has the majority of this team
played at Western Sports Mall inthe past two years? _______
If yes, team/coach name and when played: _______________
Team Fee
See "Next Session", Dates, Deadlines and Dollars by session. Minimum $150
non-refundable deposit, or payment in full, must
accompany registration. Balance of league fee must be paid the day of your
second scheduled game. Deposit will only be returned if team cannot be
scheduled into league.
Make checks payable to: Western Sports Mall
Note to Coach: You must
collect a filled out individual registration/liability waiver for every
rostered player and turn it in at the Western Sports Mall Soccer office
before players can participate.
Return to top
Click for Printable Roster Form
Roster Forms (Printable
Form)
WESTERN SPORTS MALL
SOCCER TEAM ROSTER
| SESSION: _Fall/Winter/Spring/Summer_ |
YEAR: ______ |
TEAM NAME:
________________________
AGE: _________ (Circle one) Male Female Co-ed
Coach Name:
_______________________________________
Address: ___________________________________________
City/state/Zip: _______________________________________
Day Phone: _______________ Night Phone: _______________
| |
Player Signature |
Player Name |
| |
|
|
| 1 |
|
|
| 2 |
|
|
| 3 |
|
|
| 4 |
|
|
| 5 |
|
|
| 6 |
|
|
| 7 |
|
|
| 8 |
|
|
| 9 |
|
|
| 10 |
|
|
| 11 |
|
|
| 12 |
|
|
| 13 |
|
|
| 14 |
|
|
| 15 |
|
|
| 16 |
|
|
| 17 |
|
|
| 18 |
|
|
INSTRUCTIONS: Each player must sign by the 4th game and submitted to WSM. Players may
be rostered on only one team in each division.
Return to top
Click for Printable Roster Form
Protest Form (printable
form)
WESTERN SPORTS MALL
PROTEST FORM AND INSTRUCTIONS
GAME DATA:
HOME TEAM: ______________________________
GUEST TEAM: ______________________________
GAME DATE/TIME __________________________
TEAM WITH PLAYERS BEING QUESTIONED:______________
|
PLAYER(S) NAME: |
PLAYER SIGNATURE |
|
|
|
| 1) |
_______________________ |
_______________________ |
|
|
|
| 2) |
_______________________ |
_______________________ |
|
|
|
| 3) |
_______________________ |
_______________________ |
|
|
|
INSTRUCTIONS:
-
Should you feel that a team is using an illegal player (either roster eligibility, age, or rostered on two teams in the same division), notify the referee.
-
The referee will let the opposing coach know that you are questioning a player(s). That coach will then have the option to play or not play the player(s). If player(s) is to play, they must sign the PROTEST FORM above. If the player should refuse to sign, they will be illegal.
-
It is not the referee4s decision to allow or not to allow a player to play, but only to notify the opposing coach, get the signature, and note if that player played (the clock will not be stopped for this procedure).
-
Signatures will be compared to the signature on the original roster and roster eligibility or age will be determined by WSM management within 48 hours.
-
This must be done before the match or when it is apparent that the player in question is playing (immediately after they enter the game). Any time played before a protest is lodged is on the books and will not change. Thus, if a protest is made 18 minutes into the game concerning player "X" and at that time player
"X" leaves the field of play, there can be no protest concerning that player.
Return to top
Click for Printable Protest
Form
Individual
Registration (Printable
Form)
WESTERN SPORTS MALL
SOCCER INDIVIDUAL WAIVER/REGISTRATION
Mail to:
The Western Sports Mall
2323 Ferguson Road, Cincinnati, Ohio 45238
513-451-4900
If you are not a member of an
Indoor Soccer Team, and you wish to join one, please fill out this
Individual Registration and sign the Liability Waiver. We will try to
place you with a compatible existing team, or form a new team wit other
individuals.
Name________________________
Age Group (see chart)_________
Check One: [ ] M [ ] F [ ] Co-ed
Address: ___________________________________________
City/state/Zip: _______________________________________
Day Phone: _______________ Night Phone: _______________
Competition Level Preferred (Circle
One)
A = Upper Level Select
B = Lower Level Select
C = Upper Level Recreational
D = Lower Level Recreational
Session:
_Fall/Winter/Spring/Summer_
The undersigned do hereby release
and discharge the officers, the agents, the coaches, the referees, and
the members of the Western Sports Mall from all claims, demands and
damages to property which may occur when taking part in Western Sports
Mall activities, including all risks connected therewith, whether
foreseen or unforeseen. The undersigned further agrees to save and hold
harmless the officers, the agents, the coaches, the referees, and the
members of Western Sports Mall from any claim arising out of
participation in Western Sports Mall activities
--------------------------------------------------------------------------
Return to top
Click for Printable
Waiver Form
| 
