PARK REGISTRATION

Please fill out completely and submit

FOR SOCCER PLAYERS ONLY : You must bring a copy of the birth certificate and one
passport size picture. (Non applicable for under 4 players)

   

I am registering for *
SOCCER BASKETBALL
Are you NEW player in Sports For Kids
YES NO
Name of the Child *
male
Male
female
Female
Date of Birth *
School *
Grade *
Father's name
Phone Type
Phone Country
Cell Phone
W Phone Number *
Mother's Name *
Phone Type 1
Phone Country 1
Cell Ph Number *
W Ph Number
Home Address *
Phone Type 3
Phone Country 3
Home Ph Number *
Phone Extension 1
City *
ST *
Zip *
E-mail address *
Emergency contact name
Phone Type 2
Phone Country 2
Emergency Contact Phone Number *
Phone Extension
I have read and agree to the Parent Agreement and thePolicies *
I Agree
UNIFORM SIZE *
PRINT NAME *
DATE *
Pick a date
Image
Image Image

 

 

 

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