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Washington International Soccer League, Inc.
P.O. Box # 101085
Arlington, VA 22210
(202) 374-WISL

TEAM REGISTRATION FORM

CLUB NAME                                                                                     TEAM COLORS
MAILING ADDRESS
COORDINATOR'S NAME

email address:

 HOME PHONE WORK PHONE                            CELL PHONE
ALTERNATE'S NAME

email address:

 HOME PHONE WORK PHONE                            CELL PHONE
HOME FIELD                                                              TIME OF KICKOFF (PREFERRED)

TEAM COSTS FOR SEASON

(please leave blank…to be completed by Commissioner only)

FEE

AMOUNT
Team USSF registration
WISL Adminsitration

$ 250.00
Referee/field assignments                          50.00
Referee Bond

  240.00
Seasonal field fee                           300.00

Total Payable "WISL Inc"

               $
MarylandSoccerComplex fee by  separate check to: "WISL/MDSoccerPlex"                    $ 900.00                                         
Field Fee separate check to "Bill Froh"                        $ 180 .00
WISL Field Fund Fee separate check to: "WISLFFF, Inc."                 $ 310.00