Hampton Roads Indoor Soccer League REGISTRATION FORM
Team Name
Age Group Select Age Group U9-U11 Coed U12-U13 Coed U14-U15 Coed High School Girls High School Boys
Gender Select Gender Girl Boy
Point of Contact #1 Name
Point of Contact #1 Email Address
Point of Contact #1 Phone
Point of Contact #2 Name
Point of Contact #2 Email Address
Point of Contact #2 Phone