The Tunkhannock Tigers Indoor Soccer League exists for 3 purposes: (1) to advance player development, skills and

abilities,
(2) to provide an indoor, recreational opportunity during the winter season; and (3) to promote the game of soccer.

What: A 9-week indoor soccer league from January 3 February 28, 2015
Where: Tunkhannock Area School District Administration Gym (41 Philadelphia Ave, Tunk.)
Who: Any male or female student from Pre-Kindergarten to 8
th
grade
When: Based on the number of players per grade, an approximate time frame could be:
- Pre-K to Kindergarten: 7:50am-10:15am
- 1
st
-2
nd
grade: 10:15am-12am - 5
th
-6
th
grade: 2:00pm-3:30pm
- 3
rd
-4
th
grade: 12pm-2:00pm - 7
th
-8
th
grade: 3:30pm-5:30pm
Cost: $50.00 per player in Pre-K to 8
th
grade
Discount: $5 discount for each additional player in the immediate family
1 player - $50; 2 players - $95; 3 players - $140, etc.
Schedule: Look for us on Facebook www.facebook.com/tunkhannock/indoor.soccer
-(will be posted online over Christmas vacation)
-You will be contacted by your childs coach over the holiday break or earlier.
Info: Krista Dymond / carat4@epix.net / 570-996-5001
Nolan Robinson / nolan.robinson@tasd.net / 570-833-0164
Bobbi Jo Roote / bjroote@epix.net / 570-241-3194




ATTENTION: All registrations must be received by Friday, 11/14/14 at the address listed below.
There will be a $10 LATE CHARGE FOR EACH PLAYER if registration and payment is not received by this date.
DUE TO OUR INCREASING NUMBERS, ABSOLUTELY NO REGISTRATIONS will be accepted AFTER 12/05/14.



2015 Tunkhannock Tigers Indoor Soccer League Registration





.
.
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.cut and mail .

TUNKHANNOCK TIGERS INDOOR SOCCER LEAGUE
Please use separate registration forms when registering multiple players.
TUNKHANNOCK TIGERS INDOOR SOCCER LEAGUE
2015 Indoor Soccer Individual Liability Release Form

I the undersigned hereby certify to be a custodial parent or legal guardian of
___________________________________________ (Print Childs Name),
and certify that my child is physically fit, mentally capable and medically qualified to participate
in the Tunkhannock Tigers Indoor Soccer League (TTISL) program and related activities. I
understand that soccer is an active physical sport and that injuries can occur. I understand that
every effort will be made to contact me in case of an emergency concerning my child, however,
if I cannot be reached and/or if time is of essence, I hereby give my permission to TTISL, its
affiliated organizations and sponsors, its/their employees, coaches, referees and league
personnel to seek appropriate medical attention for my child, for medical attention to be given
and received by my child in the event of accident, illness, or injury during the period of the
games. I will be responsible for any and all cost of medical attention and treatment. I, the
undersigned, for myself and my heirs, executors and administrators, assume all of the risks and
hereby agree to release, absolve, discharge, indemnify and hold harmless to the fullest extent
allowable by law, TTISL, its officers, organizers, sponsors, coaches, referees, volunteers, and
others appointed by them, as well as any person transporting my child to and from medical care
from any and all legal responsibility for injuries or accidents which may occur at any TTISL
event, and I further waive and release, and forever discharge TTISL, its affiliated organizations
and sponsors, its/their employees, coaches, referees and league personnel, the Tunkhannock
Area School District, all School Administrators, Tunkhannock Area Board of Education and/or
Administrators and any TTISL volunteers from any and all claims or liabilities in connection with
medical treatment, transportation to and from medical treatment and any accidents or injuries
which may occur during the course of any TTISL Indoor Soccer matches or related activities
conducted in or about the Tunkhannock Area School District Administration Building.
Name of Child's Insurance Company___________________________
Policy Number_____________________________________________
Policy Holder______________________________________________
Parent or Guardian Signature_________________________________
Parent or Guardian Name (please print) ________________________
Emergency Contact ________________________________________
Emergency Phone Numbers (list all) ___________________________
________________________________________________________
Date _____________________ List medical concerns/allergies below


Players first & last name _________________________________________

Parent(s)/Guardian(s) names______________________________________

Address ______________________________________________________

Best phone to reach you at: _______________________ cell or home

Email Address:

Grade ___________ Gender _________

Shirt size, 50/50 blend t-shirt (each player will receive a t-shirt)

Circle one: Youth Small Youth Medium Youth Large

Adult Small Adult Medium Adult Large Adult XL

The league needs your support. Please indicate if you are willing to:

____ Be the Head Coach of a team ___ Be an Assistant Coach of a team

(Due to the increase of our numbers and an attempt to keep the teams as
evenly competitive as possible, there will not be any requests this year. This
will also allow coaches to contact their players in a timely manner.)


- Please make checks payable to: Tunkhannock Tiger Soccer
- To be placed on a team, registration must be received by 11/14/14.
- Again, there will be a $10/player penalty for late registrations. NO
REGISTRATIONS accepted after 12/05/14.

Complete all information, detach lower portion and mail check payable to:

Tunkhannock Tiger Soccer
32 West Harrison Street
Tunkhannock, PA 18657