School District Soccer League

CHILD INFORMATION

First Name *

Last Name *

Birthdate *

Gender * MaleFemale

School District *

School Name *

Grade *

Allergies *

Jersey Size * SmallMediumLargeX-Large

Season * SpringSummerFallWinter

PARENT INFORMATION

First name *

Last Name *

Address *

Neighborhood / Community *

State *

ZIP *

City *

Phone *

Email Address *

Additional Email *

EMERGENCY CONTACT

First Name *

Last Name *

Tel *

ADDITIONAL INFORMATION *

How did you hear about us? * Returning playerChild’s SchoolCommunity or Charity EventFacebookFriends or FamilySignInternet Search

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