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Fall 2018 Recreational Pre Registration
If you are a human and are seeing this field, please leave it blank.
Fields marked with an
*
are required
Player First Name
*
Players Last Name
*
Gender
*
Male
Female
Must be 3 years old by
September 1st
of the current year
My Child's Soccer Experience
*
Never Has Played
Played Recreational
Played Competitive
Date of Birth (xx/xx/xxxx)
*
Address 1
*
City
*
State
*
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Alaska
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District of Columbia
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Zip / Post Code
*
Parent/Guardian #1 Full Name
*
Parent/Guardian #1 Phone Number
*
Parent/Guardian #1 Email Address
*
We encourage parents to volunteer. Please indicate how you would like to help:
Coach
Manager
Sponsor
What is Six + 4
*