Coed League Request Form
26 Dec 07

Please complete this form to receive more information about joining an HWSA coed team. All entries except the email address are optional, but the more information you provide, the better. The data you supply will be treated confidentially; however, please be aware that this is not a secure form.

Please provide as much information as you can.

I am:
Female
Male 
Pick an age range:
How would you rate your soccer skills?

If you have a preference for a particular position, what might that be?

         

Do you prefer games on Monday or Sunday nights?

Monday
Sunday
   Name: 
   
   
 How may we contact you? Provide e-mail address and phone number 
 (phone number optional). If you'd prefer, give us your mailing address 
in the comment area below:
   

   E-mail address (required): 
   
   Telephone (with area code):
This is my daytime phone number
This is my nightime phone number 
   Area of town you live in (e.g., Sugar Land, Katy, inside the loop, etc.):
      
   
   
   
   Enter any comments or requests here:

 

Would you like to receive Keeper Notes, the soccer e-newsletter for South Texas?
Yes
No
 
      to send your inquiry to HWSA.
   
      to start over.

 

Back to HWSA Coed page