ETOBICOKE YOUTH SOCCER CLUB INC.
                 5429 Eglinton Avenue West
              Etobicoke, Ontario    M9C 5K5
                   Telephone (416) 622-8726
                      Fax (416) 621-4488
         SPONSOR REGISTRATION FORM
               
SPONSORING COMPANY:          
   
CONTACT:          
   
TELEPHONE NUMBER:          
   
MAILING ADDRESS:          
   
           
   
POSTAL CODE:        
   
Company Website          
           
Company Email (for contact name)          
Do you want your company website linked on Etobicoke Youth Soccer Club's Web Page? Yes   No
   
   
PREFERRED AGE GROUP:        
   
GIRLS:       BOYS:      
   
HOUSE LEAGUE             ($350.00) ____________________________________________
   
ALL STAR: ($500.00)          
   
REP: ($500.00)          
  (Minimum amount)  
   
NAME OF CHILD ON SPONSORING TEAM:        
   
DATE OF BIRTH:          
   
GENDER OF CHILD:          
   
CHEQUE ENCLOSED IN THE AMOUNT OF $      
               
PLEASE INCLUDE A COPY OF YOUR LOGO AS IT SHOULD APPEAR ON THE UNIFORM