_____ INDOOR LEAGUE ENTRY FORM _____
Please fill out form completely.
Be sure to print and sign the Liability Release From and the Medical Information Form. Then mail them along with payment.

Check One:
10U  12U  14U  16U  18U  HS

Team Name:
Team Nickname:
Coordinator:
Email :
Phone:

Coaches Name:
Address:
City: State: Zip:
Phone:
Email:

Coaches Name:
Address:
City: State: Zip:
Phone:
Email:

Coaches Name:
Address:
City: State: Zip:
Phone:
Email:

Check One:
Winter Saturday League Entry Fee $800.00
Winter Sunday League Entry Fee $1000.00
Spring Sunday League Entry Fee $800.00

Please mail your check, the signed liability and medical release forms to:
SSIDL 
3999 Idella Ave.
Mogadore, OH 44260