 | Each child will need their own water, their own size 3 ball, and
shinguards. Soccer Cleats are not mandatory, tennis shoes work
just fine. (no baseball or football cleats) |
Registration Form
Please
fill out and submit with payment
Child’s name:
___________________________________________________________
Child’s age: ______ Birthdate:
______________ Boy / Girl (circle one)
Child shirt size: sm (6-8) _____ med (8-10)
_____ lg (12-14) _____ xlg (16-18) _____
Address:
________________________________________________________________
City: ________________________ State:
______________ Zip: __________________
Home phone: _________________ Other phone:
_____________________
Email:
__________________________________________________________________
Father’s Name:
____________________________________
Mother’s Name: ____________________________________
List any medical problem(s) player has:
_________________________________________
Will you be a parent “Volunteer”? Y or N (circle
one) Name: _____________________
Deadline for registration is January 19th.