Registration Form

GREATER ATLANTA WOMEN’S SOCCER ASSOCIATION (GAWSA) REGISTRATION FORM

To be used after contacting a team. To find a team, use "Sign Me Up."

$25 Check to GAWSA

Driver’s license size photo (copy of driver’s license okay)

NAME : ___________________________________________

PHONE : HOME_________________WORK_______________

ADDRESS : ___________________________________________

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DATE OF BIRTH : ___________________________________________

SOCIAL SECURITY

NUMBER : ___________________________________________

COUNTRY OF

BIRTH : ___________________________________________

TEAM : ___________________________________________

PLEASE MAIL REGISTRATION FORM ALONG WITH $25 FEE (CHECKS MADE OUT TO GAWSA) AND PICTURE TO:

Tammy Lerner, Registrar

3019 Summer Point Drive

Woodstock , GA 30189

770-517-0814

t.lerner@comcast.net

REV. 06-00