<html> <head> <meta name="GENERATOR" content="Adobe PageMill 3.0 Win"> <title>Lawyers Indoor Soccer League</title> <script language="javascript"> <!-- var iRosterCount=12; function validate(){ var bValid=false, sFname='', sLname='', sEmail='', sError=''; sError += (document.Form1.TeamCaptain.value=='') ? 'Team Captain is required.\n' : ''; sError += (document.Form1.TeamName.value=='') ? 'Team Name is required.\n' : ''; sError += (document.Form1.address.value=='') ? 'Address is required.\n' : ''; sError += (document.Form1.city.value=='') ? 'City is required.\n' : ''; sError += (document.Form1.zip.value=='') ? 'Zip is required.\n' : ''; sError += (document.Form1.phone.value=='') ? 'Captain Phone Number is required.\n' : ''; sError += (isValidEmail(document.Form1.email.value)==false) ? 'Captain Email Address is invalid.\n' : ''; sError += (document.Form1.altcaptain.value=='') ? 'Alternate Team Captain is required.\n' : ''; sError += (document.Form1.altphone.value=='') ? 'Alternate Captain Phone Number is required.\n' : ''; sError += (isValidEmail(document.Form1.altemail.value)==false) ? 'Alternate Captain Email Address is invalid.\n' : ''; for (var i=1; i<=iRosterCount; i++) { sFname=document.Form1['RosterFirstName' + i].value; sLname=document.Form1['RosterLastName' + i].value; sEmail=document.Form1['RosterEmail' + i].value; if(sFname!='' || sLname!='') if (sEmail=='') sError += 'E-mail is blank for Roster Member #' + i + ' (Type "NONE" if unavailable)\n'; else if (isValidEmail(sEmail)==false) sError += 'Invalid E-mail for Roster Member #' + i + '\n'; } if (sError == '') bValid=true; else alert('Please correct the following before continuing:\n\n' + sError); return bValid; } function isValidEmail(str) { if (str.toLowerCase()=='none') return true; else return (str.indexOf(".") > 2) && (str.indexOf("@") > 0); } --> </script> </head> <body vlink="#ff0000" bgcolor="#ffffff" link="#ff0000"> <form name="Form1" method="POST" action="http://www.edge7tech.net/corpleague/Application/Create" onsubmit="return validate();" id="Form1"> <table width="555" cellspacing="2" cellpadding="0" border="0"> <tr> <td width="100%"> <p> <table width="555" border="0" cellspacing="2" cellpadding="0" height="30"> <tr> <td width="350" height="23"> <b><font size="-1" face="Arial">In order to participate in the LSL:</font></b> <br clear="ALL"> <font size="-1" face="Arial">(1) team representatives must submit the following form<BR CLEAR="ALL">(2) all team members must fill out the</font><font face="Arial"> <B><A HREF="../../lbl/forms/waiverForm_lawyer.htm">waiver</A></B></font><font size="-1" face="Arial"> form</font> <style type="text/css" title="ve"> <!-- a:hover { color: red; } --> </style> </td> <td height="23" width="200">&nbsp;<img src="../../images/LALLogo3.JPG" align="BOTTOM" border="0"></td> </tr> </table> </p> <p> <center><B><FONT COLOR="#000000" FACE="Arial">LSL APPLICATION FORM</FONT></B></center> </p> <p>&nbsp;</p> <p> <b><u><font color="#ff0000" size="-1" face="Arial">CONTACT INFORMATION</font></u><font color="#ff0000" size="-1" face="Arial"><BR CLEAR="ALL"></font></b><font color="#ff0000" size="-1" face="Arial">*</font> <b><font color="#000000" size="-1" face="Arial">required fields<BR CLEAR="ALL"></font></b> <table width="555" border="0" cellspacing="2" cellpadding="2" id="Table1"> <tr> <td width="100%"> <font color="#ff0000" size="-1" face="Arial">*</font><b><font size="-1" face="Arial">TEAM NAME: <INPUT NAME="TeamName" TYPE="text" SIZE="50" MAXLENGTH="55" ID="Text1"></font></b></td> </tr> </table> <table width="555" border="0" cellspacing="2" cellpadding="2" id="Table2"> <tr> <td width="100%"> <font color="#ff0000" size="-1" face="Arial">*</font><b><font size="-1" face="Arial">TEAM CAPTAIN: <INPUT NAME="TeamCaptain" TYPE="text" SIZE="50" MAXLENGTH="55" ID="Text2"></font></b></td> </tr> </table> <table width="555" border="0" cellspacing="2" cellpadding="2" id="Table3"> <tr> <td width="100%"> <font color="#ff0000" size="-1" face="Arial">*</font><b><font size="-1" face="Arial">STREET ADDRESS: <INPUT NAME="address" TYPE="text" SIZE="50" MAXLENGTH="55" ID="Text3"></font></b></td> </tr> </table> <table width="555" border="0" cellspacing="2" cellpadding="2" height="32" id="Table4"> <tr> <td width="100%" height="27"> <font color="#ff0000" size="-1" face="Arial">*</font><b><font size="-1" face="Arial">CITY:</font></b><font size="-1" face="Arial"> <INPUT NAME="city" TYPE="text" SIZE="25" MAXLENGTH="25" ID="Text4"> <SELECT NAME="state" ID="Select1"> <OPTION VALUE="NY" SELECTED>NY <OPTION VALUE="NJ">NJ <OPTION VALUE="CT">CT </SELECT><B> </B></font><font color="#ff0000" size="-1" face="Arial">*</font><b><font size="-1" face="Arial">ZIP:</font></b><font size="-1" face="Arial"> <INPUT NAME="zip" TYPE="text" SIZE="20" MAXLENGTH="20" ID="Text5"></font></td> </tr> </table> <table width="555" border="0" cellspacing="2" cellpadding="2" height="32" id="Table5"> <tr> <td width="100%" height="27"> <b><font size="-1" face="Arial">TEL (W):</font></b><font size="-1" face="Arial"> </font><font color="#ff0000" size="-1" face="Arial">*</font><font size="-1" face="Arial"><INPUT NAME="phone" TYPE="text" SIZE="25" MAXLENGTH="25" ID="Text6"> <B>FAX: </B><INPUT NAME="fax" TYPE="text" SIZE="25" MAXLENGTH="25" ID="Text7"></font>&nbsp;</td> </tr> </table> <table width="555" border="0" cellspacing="2" cellpadding="2" id="Table6"> <tr> <td width="100%"> <b><font size="-1" face="Arial">CELLULAR:</font></b><font size="-1" face="Arial"> <INPUT NAME="cell" TYPE="text" SIZE="22" MAXLENGTH="25" ID="Text8"> </font><font color="#ff0000" size="-1" face="Arial">*</font><b><font size="-1" face="Arial">E-MAIL: <INPUT NAME="email" TYPE="text" SIZE="29" MAXLENGTH="65" ID="Text9"></font></b></td> </tr> </table> <table width="544" border="0" cellspacing="2" cellpadding="2" id="Table7"> <tr> <td width="100%"> <font color="#ff0000" size="-1" face="Arial">*</font><b><font size="-1" face="Arial">ALT. TEAM CAPTAIN:</font></b><font size="-1" face="Arial"> <B><INPUT NAME="altcaptain" TYPE="text" SIZE="50" MAXLENGTH="55" ID="Text10"></B></font></td> </tr> </table> <table width="555" border="0" cellspacing="2" cellpadding="2" height="32" id="Table8"> <tr> <td width="100%" height="27"> <font color="#ff0000" size="-1" face="Arial">*</font><b><font size="-1" face="Arial">TEL (W):</font></b><font size="-1" face="Arial"> <B><INPUT NAME="altphone" TYPE="text" SIZE="25" MAXLENGTH="25" ID="Text11"></B> <STRONG>FAX</STRONG> : <B><INPUT NAME="altfax" TYPE="text" SIZE="25" MAXLENGTH="25" ID="Text12"></B></font>&nbsp;</td> </tr> </table> <table width="555" border="0" cellspacing="2" cellpadding="2" id="Table9"> <tr> <td width="100%"> <b><font size="-1" face="Arial">CELLULAR:</font></b><font size="-1" face="Arial"> <INPUT NAME="altcell" TYPE="text" SIZE="23" MAXLENGTH="25" ID="Text13"> </font><font color="#ff0000" size="-1" face="Arial">*</font><b><font size="-1" face="Arial">E-MAIL: <INPUT NAME="altemail" TYPE="text" SIZE="30" MAXLENGTH="65" ID="Text14"></font></b></td> </tr> </table> </p> <p> <b><u><font color="#ff0000" size="-1" face="Arial">LEVEL OF PLAY</font></u></b><font face="Arial"><BR CLEAR="ALL"></font><font size="-1" face="Arial">What skill level do you feel you would be most competitive? <B>Check one</B>.</font> <br clear="ALL"> <u><font size="-1" face="Arial">Note</font></u><font size="-1" face="Arial">: the League reserves the right to make final determination.<BR CLEAR="ALL"></font> <table width="550" border="0" cellspacing="2" cellpadding="2"> <tr> <td width="54">&nbsp;<font face="Arial"><INPUT TYPE="checkbox" NAME="level_adv_top" VALUE="checkbox"></font></td> <td width="489"> <font size="-1" face="Arial">Advocates:Top competitive teams; strict enforcement of the rules</font></td> </tr> <tr> <td width="54">&nbsp;<font face="Arial"><INPUT TYPE="checkbox" NAME="level_bar_semi" VALUE="checkbox"></font></td> <td width="489"> <font size="-1" face="Arial">Barristers: Semi-Competitive. Some players that know how to play the game</font></td> </tr> <tr> <td width="54">&nbsp;<font face="Arial"><INPUT TYPE="checkbox" NAME="level_bar_coedsemi" VALUE="checkbox"></font></td> <td width="489"> <font size="-1" face="Arial">Barristers <B>Co-Ed</B>: Semi-Competitive. Some players that know how to play the game. </font><font size="-1">Co-Ed Rules Apply</font></td> </tr> <tr> <td width="54">&nbsp;<font face="Arial"><INPUT TYPE="checkbox" NAME="level_cns_rec" VALUE="checkbox"></font></td> <td width="489"> <font size="-1" face="Arial">Counsellors: Recreational. New teams/limited experience; adequate skill level</font> <br clear="ALL"> <font size="-1">Co-Ed Rules Apply</font></td> </tr> </table> </p> <p> <b><u><font color="#ff0000" size="-1" face="Arial">ROSTER</font></u><font color="#ff0000" size="-1" face="Arial"><BR CLEAR="ALL"></font></b><font color="#000000" size="-1" face="Arial">Type in the full name of all the team's members below. If you do not know the e-mail address, type &quot;NONE&quot; in the e-mail address field:<BR CLEAR="ALL"></font> <table width="595" border="0" cellspacing="1" cellpadding="1" height="42" id="Table10"> <tr bgcolor="#e5e5e5"> <td> <b><font size="-1" face="Arial">#</font></b></td> <td> <b><font size="-1" face="Arial">FIRST NAME</font></b></td> <td> <b><font size="-1" face="Arial">LAST NAME</font></b></td> <td> <b><font size="-1" face="Arial">EMAIL</font></b></td> </tr> <tr> <td> <b><font size="-1" face="Arial">1</font></b></td> <td> <font size="-1" face="Arial"><INPUT NAME="RosterFirstName1" TYPE="text" SIZE="15" MAXLENGTH="30" ID="Text15"></font> </td> <td> <font size="-1" face="Arial"><INPUT NAME="RosterLastName1" TYPE="text" SIZE="25" MAXLENGTH="30" ID="Text16"></font> </td> <td> <font size="-1" face="Arial"><INPUT NAME="RosterEmail1" TYPE="text" SIZE="30" MAXLENGTH="45" ID="Text17"></font> </td> </tr> <tr> <td> <b><font size="-1" face="Arial">2</font></b></td> <td> <font size="-1" face="Arial"><INPUT NAME="RosterFirstName2" TYPE="text" SIZE="15" MAXLENGTH="30" ID="Text18"></font> </td> <td> <font size="-1" face="Arial"><INPUT NAME="RosterLastName2" TYPE="text" SIZE="25" MAXLENGTH="30" ID="Text19"></font> </td> <td> <font size="-1" face="Arial"><INPUT NAME="RosterEmail2" TYPE="text" SIZE="30" MAXLENGTH="45" ID="Text20"></font> </td> </tr> <tr> <td> <b><font size="-1" face="Arial">3</font></b></td> <td> <font size="-1" face="Arial"><INPUT NAME="RosterFirstName3" TYPE="text" SIZE="15" MAXLENGTH="30" ID="Text21"></font> </td> <td> <font size="-1" face="Arial"><INPUT NAME="RosterLastName3" TYPE="text" SIZE="25" MAXLENGTH="30" ID="Text22"></font> </td> <td> <font size="-1" face="Arial"><INPUT NAME="RosterEmail3" TYPE="text" SIZE="30" MAXLENGTH="45" ID="Text23"></font> </td> </tr> <tr> <td> <b><font size="-1" face="Arial">4</font></b></td> <td> <font size="-1" face="Arial"><INPUT NAME="RosterFirstName4" TYPE="text" SIZE="15" MAXLENGTH="30" ID="Text24"></font> </td> <td> <font size="-1" face="Arial"><INPUT NAME="RosterLastName4" TYPE="text" SIZE="25" MAXLENGTH="30" ID="Text25"></font> </td> <td> <font size="-1" face="Arial"><INPUT NAME="RosterEmail4" TYPE="text" SIZE="30" MAXLENGTH="45" ID="Text26"></font> </td> </tr> <tr> <td> <b><font size="-1" face="Arial">5</font></b></td> <td> <font size="-1" face="Arial"><INPUT NAME="RosterFirstName5" TYPE="text" SIZE="15" MAXLENGTH="30" ID="Text27"></font> </td> <td> <font size="-1" face="Arial"><INPUT NAME="RosterLastName5" TYPE="text" SIZE="25" MAXLENGTH="30" ID="Text28"></font> </td> <td> <font size="-1" face="Arial"><INPUT NAME="RosterEmail5" TYPE="text" SIZE="30" MAXLENGTH="45" ID="Text29"></font> </td> </tr> <tr> <td> <b><font size="-1" face="Arial">6</font></b></td> <td> <font size="-1" face="Arial"><INPUT NAME="RosterFirstName6" TYPE="text" SIZE="15" MAXLENGTH="30" ID="Text30"></font> </td> <td> <font size="-1" face="Arial"><INPUT NAME="RosterLastName6" TYPE="text" SIZE="25" MAXLENGTH="30" ID="Text31"></font> </td> <td> <font size="-1" face="Arial"><INPUT NAME="RosterEmail6" TYPE="text" SIZE="30" MAXLENGTH="45" ID="Text32"></font> </td> </tr> <tr> <td> <b><font size="-1" face="Arial">7</font></b></td> <td> <font size="-1" face="Arial"><INPUT NAME="RosterFirstName7" TYPE="text" SIZE="15" MAXLENGTH="30" ID="Text33"></font> </td> <td> <font size="-1" face="Arial"><INPUT NAME="RosterLastName7" TYPE="text" SIZE="25" MAXLENGTH="30" ID="Text34"></font> </td> <td> <font size="-1" face="Arial"><INPUT NAME="RosterEmail7" TYPE="text" SIZE="30" MAXLENGTH="45" ID="Text35"></font> </td> </tr> <tr> <td> <b><font size="-1" face="Arial">8</font></b></td> <td> <font size="-1" face="Arial"><INPUT NAME="RosterFirstName8" TYPE="text" SIZE="15" MAXLENGTH="30" ID="Text36"></font> </td> <td> <font size="-1" face="Arial"><INPUT NAME="RosterLastName8" TYPE="text" SIZE="25" MAXLENGTH="30" ID="Text37"></font> </td> <td> <font size="-1" face="Arial"><INPUT NAME="RosterEmail8" TYPE="text" SIZE="30" MAXLENGTH="45" ID="Text38"></font> </td> </tr> <tr> <td> <b><font size="-1" face="Arial">9</font></b></td> <td> <font size="-1" face="Arial"><INPUT NAME="RosterFirstName9" TYPE="text" SIZE="15" MAXLENGTH="30" ID="Text39"></font> </td> <td> <font size="-1" face="Arial"><INPUT NAME="RosterLastName9" TYPE="text" SIZE="25" MAXLENGTH="30" ID="Text40"></font> </td> <td> <font size="-1" face="Arial"><INPUT NAME="RosterEmail9" TYPE="text" SIZE="30" MAXLENGTH="45" ID="Text41"></font> </td> </tr> <tr> <td> <b><font size="-1" face="Arial">10</font></b></td> <td> <font size="-1" face="Arial"><INPUT NAME="RosterFirstName10" TYPE="text" SIZE="15" MAXLENGTH="30" ID="Text42"></font> </td> <td> <font size="-1" face="Arial"><INPUT NAME="RosterLastName10" TYPE="text" SIZE="25" MAXLENGTH="30" ID="Text43"></font> </td> <td> <font size="-1" face="Arial"><INPUT NAME="RosterEmail10" TYPE="text" SIZE="30" MAXLENGTH="45" ID="Text44"></font> </td> </tr> <tr> <td> <b><font size="-1" face="Arial">11</font></b></td> <td> <font size="-1" face="Arial"><INPUT NAME="RosterFirstName11" TYPE="text" SIZE="15" MAXLENGTH="30" ID="Text45"></font> </td> <td> <font size="-1" face="Arial"><INPUT NAME="RosterLastName11" TYPE="text" SIZE="25" MAXLENGTH="30" ID="Text46"></font> </td> <td> <font size="-1" face="Arial"><INPUT NAME="RosterEmail11" TYPE="text" SIZE="30" MAXLENGTH="45" ID="Text47"></font> </td> </tr> <tr> <td> <b><font size="-1" face="Arial">12</font></b></td> <td> <font size="-1" face="Arial"><INPUT NAME="RosterFirstName12" TYPE="text" SIZE="15" MAXLENGTH="30" ID="Text48"></font> </td> <td> <font size="-1" face="Arial"><INPUT NAME="RosterLastName12" TYPE="text" SIZE="25" MAXLENGTH="30" ID="Text49"></font> </td> <td> <font size="-1" face="Arial"><INPUT NAME="RosterEmail12" TYPE="text" SIZE="30" MAXLENGTH="45" ID="Text50"></font> </td> </tr> </table> </p> <p> <br clear="ALL"> <b><u><font color="#ff0000" size="-1" face="Arial">UNIFORMS</font></u></b><font size="-1" face="Arial"><BR CLEAR="ALL">Please note that League rules require each team member to wear the same style T-shirt or Jersey. All uniform jerseys will have your firm name and the League logo. When ordering, please request a sufficient quantity for all participants, as well as any extra jerseys that you might need for partners, spouses, kids, friends, etc., as it is difficult and expensive to fill piece-meal orders. All jerseys are a full extra-large cut. </font><b><font color="#0000ff" size="-1" face="Arial">Minimum order is six</font></b><font size="-1" face="Arial">.</font> </p> <p>&nbsp;</p> <p> <table width="575" border="0" cellspacing="2" cellpadding="0"> <tr> <td colspan="3"> <b><font size="-1" face="Arial">TEAM NAME: <INPUT NAME="jerseyname" TYPE="text" SIZE="55" MAXLENGTH="55"></font></b></td> </tr> <tr> <td colspan="3"> <b><font size="-1" face="Arial"><INPUT TYPE="checkbox" NAME="namechange" VALUE="checkbox"> Check this box if your firm has changed its name from the previous season.</font></b></td> </tr> </table> </p> <p> <b><font size="-1" face="Arial">If this is a re-order, please specify the colors of last year's uniform.</font></b> <table width="575" border="0" cellspacing="2" cellpadding="0"> <tr> <td colspan="3"> <b><font size="-1" face="Arial">UNIFORM COLOR: <INPUT NAME="reordercolor" TYPE="text" SIZE="25" MAXLENGTH="25"></font></b></td> </tr> <tr> <td colspan="3"> <b><font size="-1" face="Arial">LETTERING COLOR: <INPUT NAME="reorderletter" TYPE="text" SIZE="25" MAXLENGTH="25"></font></b></td> </tr> </table> </p> <p> <b><u><font color="#ff0000" size="-1" face="Arial">TEE SHIRTS</font></u><font color="#ff0000" size="-1" face="Arial"> - $15<BR CLEAR="ALL"></font></b><font size="-1" face="Arial">Choose your top three preferences. Place a 1, 2 or 3 next to the color.<BR CLEAR="ALL">(Note: League will make final choice in order to eliminate duplications in the same division)</font> <table width="575" border="0" cellspacing="2" cellpadding="0"> <tr> <td width="14%"> <b><font size="-1" face="Arial"><INPUT NAME="white" TYPE="text" SIZE="1" MAXLENGTH="1">White</font></b></td> <td width="14%"> <b><font size="-1" face="Arial"><INPUT NAME="gold" TYPE="text" SIZE="1" MAXLENGTH="1">Gold</font></b></td> <td width="14%"> <b><font size="-1" face="Arial"><INPUT NAME="navy" TYPE="text" SIZE="1" MAXLENGTH="1">Navy</font></b></td> <td width="14%"> <b><font size="-1" face="Arial"><INPUT NAME="red" TYPE="text" SIZE="1" MAXLENGTH="1">Red</font></b></td> <td width="14%"> <b><font size="-1" face="Arial"><INPUT NAME="ash" TYPE="text" SIZE="1" MAXLENGTH="1">Ash</font></b></td> <td width="15%"> <b><font size="-1" face="Arial"><INPUT NAME="black" TYPE="text" SIZE="1" MAXLENGTH="1">Black</font></b></td> <td width="15%"> <b><font size="-1" face="Arial"><INPUT NAME="forest" TYPE="text" SIZE="1" MAXLENGTH="1">Forest</font></b></td> </tr> <tr> <td width="14%"> <b><font size="-1" face="Arial"><INPUT NAME="purple" TYPE="text" SIZE="1" MAXLENGTH="1">Purple</font></b></td> <td width="14%"> <b><font size="-1" face="Arial"><INPUT NAME="aqua" TYPE="text" SIZE="1" MAXLENGTH="1">Aqua</font></b></td> <td width="14%"> <b><font size="-1" face="Arial"><INPUT NAME="ltblue" TYPE="text" SIZE="1" MAXLENGTH="1">Lt. Blue</font></b></td> <td width="14%"> <b><font size="-1" face="Arial"><INPUT NAME="orange" TYPE="text" SIZE="1" MAXLENGTH="1">Orange</font></b></td> <td width="14%"> <b><font size="-1" face="Arial"><INPUT NAME="maroon" TYPE="text" SIZE="1" MAXLENGTH="1">Maroon</font></b></td> <td width="15%"> <b><font size="-1" face="Arial"><INPUT NAME="kelley" TYPE="text" SIZE="1" MAXLENGTH="1">Kelley</font></b></td> <td width="15%"> <b><font size="-1" face="Arial"><INPUT NAME="royal" TYPE="text" SIZE="1" MAXLENGTH="1">Royal</font></b></td> </tr> </table> <table width="575" border="0" cellspacing="2" cellpadding="0"> <tr> <td colspan="3"> <b><font size="-1" face="Arial">NUMBER OF TEE SHIRTS: <INPUT NAME="xltees" TYPE="text" SIZE="3" MAXLENGTH="3">XL <INPUT NAME="largetees" TYPE="text" SIZE="3" MAXLENGTH="3"> L <INPUT NAME="medtees" TYPE="text" SIZE="3" MAXLENGTH="3"> M</font></b></td> </tr> <tr> <td colspan="3"> <i><font color="#0000ff" size="-1" face="Arial">Minimum order is six</font></i></td> </tr> </table> </p> <p> <table width="453" border="0" cellspacing="2" cellpadding="0"> <tr valign="TOP"> <td colspan="3"> <b><u><font color="#ff0000" size="-1" face="Arial">OFFICIAL LSL &quot;UNDER ARMOR&quot; JERSEYS</font></u><font color="#ff0000" size="-1" face="Arial"> - $25<BR CLEAR="ALL"></font></b></td> </tr> <tr valign="MIDDLE"> <td colspan="3"></td> </tr> </table> <font size="-1" face="Arial">Please choose only one.</font> <table width="501" border="0" cellspacing="2" cellpadding="0" height="94"> <tr> <td width="27%" height="42"> <b><font size="-1" face="Arial"><INPUT TYPE="checkbox" NAME="royalrev" VALUE="checkbox"> Royal/White</font></b></td> <td width="26%" height="42"> <b><font size="-1" face="Arial"><INPUT TYPE="checkbox" NAME="scarletrev" VALUE="checkbox">Scarlet/White</font></b></td> <td width="21%" height="42"> <b><font size="-1" face="Arial"><INPUT TYPE="checkbox" NAME="blackrev" VALUE="checkbox">Black/White</font></b></td> <td width="26%" height="42"> <b><font size="-1" face="Arial"><INPUT TYPE="checkbox" NAME="greenrev" VALUE="checkbox"> DkGreen/White</font></b></td> </tr> <tr> <td width="27%" height="45"> <b><font size="-1" face="Arial"><INPUT TYPE="checkbox" NAME="purplerev" VALUE="checkbox">Purple/White</font></b></td> <td width="26%" height="45"> <b><font size="-1" face="Arial"><INPUT TYPE="checkbox" NAME="orangerev" VALUE="checkbox">Orange/White</font></b></td> <td width="21%" height="45"> <b><font size="-1" face="Arial"><INPUT TYPE="checkbox" NAME="goldrev" VALUE="checkbox">Gold/White</font></b></td> <td width="26%" height="45">&nbsp;</td> </tr> </table> <table width="575" border="0" cellspacing="2" cellpadding="0"> <tr> <td colspan="3"> <b><font size="-1" face="Arial">NUMBER OF JERSEYS: <INPUT NAME="xxlrevs" TYPE="text" SIZE="3" MAXLENGTH="3">XXL <INPUT NAME="xlrevs" TYPE="text" SIZE="3" MAXLENGTH="3">XL<INPUT NAME="lrevs" TYPE="text" SIZE="3" MAXLENGTH="3">L <INPUT NAME="medrevs" TYPE="text" SIZE="3" MAXLENGTH="3">MED</font></b></td> </tr> <tr> <td colspan="3"> <i><font color="#0000ff" size="-1" face="Arial">Minimum order is six<BR CLEAR="ALL"></font></i></td> </tr> </table> <br clear="ALL"> </p> <p> <b><u><font color="#ff0000" size="-1" face="Arial">WAIVER</font></u><font color="#ff0000" size="-1" face="Arial"> </font></b><font color="#0000ff" size="-1" face="Arial">(Must check box below to participate)</font><font size="-1" face="Arial"><BR CLEAR="ALL"></font><b><font size="-2" face="Arial"><INPUT TYPE="checkbox" NAME="required-waiverbox" VALUE="checkbox" CHECKED="1">By checking this box the representative is familiar with the League Eligibility Rules and that all the above roster members are qualified to participate under them. (Note: Violation of the Eligibility Rules may result in expulsion from the League without refund). Further, it is understood that the Lawyers Athletic League, Inc., The Lawyers Athletic Association, Inc., The Lawyers Basketball League, The New York Corporate Basketball League and affiliated organizations, their directors and agents disclaim any responsibility or liability for damage to property or injury to any person, whether players, spectators or others, no matter how caused. Such damage or injury is the sole responsibility of, and is assumed by, the teams, players, participants and firms they represent.</font></b> </p> <p> <b><u><font color="#ff0000" size="-1" face="Arial">TODAY'S DATE</font></u><font color="#ff0000" size="-1" face="Arial">&nbsp;<SELECT ID="Select2" NAME="month"> <OPTION SELECTED>JANUARY <OPTION>FEBRUARY <OPTION>MARCH <OPTION>APRIL <OPTION>MAY <OPTION>JUNE <OPTION>JULY <OPTION>AUGUST <OPTION>SEPTEMBER <OPTION>OCTOBER <OPTION>NOVEMBER </SELECT><SELECT ID="Select3" NAME="day"> <OPTION SELECTED>1 <OPTION>2 <OPTION>3 <OPTION>4 <OPTION>5 <OPTION>6 <OPTION>7 <OPTION>8 <OPTION>9 <OPTION>10 <OPTION>11 <OPTION>12 <OPTION>13 <OPTION>14 <OPTION>15 <OPTION>16 <OPTION>17 <OPTION>18 <OPTION>19 <OPTION>20 <OPTION>21 <OPTION>22 <OPTION>23 <OPTION>24 <OPTION>25 <OPTION>26 <OPTION>27 <OPTION>28 <OPTION>29 <OPTION>30 <OPTION>31 </SELECT></font> <b><font size="-1" face="Arial"><script>document.write(new Date().getFullYear())</script></font></b> </p> <p> <b><u><font color="#ff0000" size="-1" face="Arial">COMMENTS</font></u></b> <br clear="ALL"> <textarea name="comments" rows="5" cols="50"></textarea><b><font color="#000000" size="-1" face="Arial"><BR CLEAR="ALL"></font></b> </p> <p> <input type="submit" value="SUBMIT FORM"> <input type="reset" value="Reset"> <input type="hidden" name="success" value="http://www.lawyersleague.com/soccer/successsoccer.html"> <input type="hidden" name="LeagueID" value="LSL_SOCCER" id="Hidden1"> </td> </tr> </table> </form> </body> </html>