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SOCCER REGISTRATION FORM

All Ages 5-12 yr


Fall Season dates 9/23 - 10/28


Soccer Players Name*

Parent’s / Guardian’s Name*

Address*

Phone*

Email*

Participants Birth Date*

Shirt Size*

Skill /Experience level 1-4 ? (helps us better balance teams)*

Special Requests / Comments

Interested in coaching? Y/N

Terms/Conditions*

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