EYSA: Goalkeeper Training Registration Form

PMB 323 | 15600 NE 8th St., Suite B1 | Bellevue, WA 98008
Last updated: April 6, 2005

RECREATIONAL GOALKEEPER TRAINING PROGRAM FOR COACHES AND PLAYERS

2005 schedules will be available soon (noted April 5, 2005)

(Space is Limited, Reservation Required)

Currently EYSA has scheduled one Goalie Clinics for TBD. Coaches and their goalies join in this fun, participatory clinic learning new skills and drills to use all during the season. The cost is only $5.00 per person. LOCATION: TBD.

Time Choice: TBD (U-11 & under) TBD (U-12 & above) [please circle selection]

Name: ____________________________________________________________________________
Address: __________________________________________________________________________
City: ___________________________________	State: WA	Zip +4: ___________________
Day Phone: ______________________________	Evening Phone: ________________________
FAX: ___________________________________	E-mail: _______________________________
Association:_______________________________	Club: ______________________
Team Name: ______________________________	Age: _____	Boys or Girls (Circle One)
Playing Experience (Circle One): New / 1-2 years / 3-4 years / 5+ years / I am a parent

Reservations are not confirmed until payment is received.
Print this form and send it, along with your $5 check payable to EYSA at:

EYSA c/o Tiffany Ottopal, 22142 SE 277th St., Maple Valley, WA 98038, 425-681-6341