Ithaca Adult league
2025-2026
Registration FORM – $663.00 per person
Six teams – Thirty five games – 21 week season
Player name___________________________________________________
Emergency Contact name___________________________________________________
Address_______________________________________________________________________
City__________________ Zip code_____________
Email________________________________________________________________
Cell number_______________________________________________
Emergency Cell Number_______________________________________________
Player’s age________ Birth date________ Birth year______
Please Circle – Forward Defense Goalie
Cost $663.00
–League Fees due October 1,2025 ($50 late fee)
Checks made payable to Community Recreational Center
attach your AAU certificate proof of membership
Cash_________________
Credit card#_______________________________________________ exp date_____________
All games at Community Recreational Center – 1767 East Shore Drive – Ithaca NY 14850