Metro Adult Soccer Travel -

Metro Adult Soccer Travel
Copa Riviera 2003
Riviera Maya, Mexico - January 10 -17, 2004

Registration Form

PLAYER INFORMATION

First Name: Last Name:

Street Address:

City: State: Zip:

Day Phone: Evening Phone:

E-Mail:

UNIFORM/TEAM INFORMATION

Jersey Size: Short Size:

Preferred Uniform Number: Second Choice Uniform Number:
Numbers will be assigned on a first-come first-served basic

Soccer Experience:

Position I'd Like to Play: Are You:

Roommate Request:
Is there another player traveling that you want to play with

Do you want a Single Room:
Single rooms are VERY limited and will have a surcharge added to your cost. We will contact you if one is available.

Roommate Preference:

Name of Non-Playing Travel Partner:

Teammate Request:
Is there another player traveling that you want to play with.

PAYMENT INFORMATION

NOTE: Pre-Price sign-up with no obligation.
$100.00 Refundable deposit to hold your spot until price is released.

Play & Stay Vacation PLAYER Price: $ TBD per person
Play & Stay Vacation NON-PLAYER Price: $ TBD per person

Payment Type:

Payment Amount: Minimum $100.00 per person Deposit

Credit Card Number: Expiration: /

I am a client of Metro Adult Soccer and hereby appoint them to be my attorney in fact for the signing of documents necessary to purchase the above Play & Stay Vacation package and to charge the above amount to the credit card listed on this form. I also understand that if I cancel the above mentioned package there are penalties, I have read the terms & conditions and UNDERSTAND them and agree to them.

Click here to confirm your electronic signature

Make Checks Payable to: METRO ADULT SOCCER

Mail checks to: Metro Adult Soccer, P. O. Box 15356, Riverside RI 02915