What sport are you registering for?
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Select an option:
Soccer
Uniform Size Needed
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Select an option:
Youth XSM
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Adult XLarge
Adult 2XL
Player's First Name
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Player's Last Name
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Player's Birthdate (mm/dd/yyyy)
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Gender
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Male
Female
Player's Address
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Parent's Name 1
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Parent's Phone Number 1
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Email Address Parent 1
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Emergency Contact Name (Other than Parent 1)
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Emergency Contact Phone Number
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Allergies and Other Medical History
Special Requests (Coach, practice day/time, etc.)
Does your child qualify for Free or Reduced Lunch at school?
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Yes
No
No Answer
I understand that our organization is run by 100 percent volunteers. I will volunteer in the following way:
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Select an option:
Head Coach
Assistant Coach
Team Parent
Field Set-up/Take-Down
Assistant Travel Commissioner
Assistant In-House Commissioner
None
I understand and agree that an invoice for the registration fee will be sent to the email address provided and that the invoice MUST be PAID before registration is complete.
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Yes
No
I understand and agree that I must attend a parent's meeting before the 1st practice and complete additional participant waiver paperwork before my child can participate.
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Yes
No
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indicates required fields