Soccer Registration Form 2015
Registration Due date: 2/1/2015
Age Limits: 4 - 10 years old;
Program Fee: $60 (Sibling will have $10 discount.)
Spring Season: March 15--May 31 (No Game on May 24)
Game Time: Every Sunday afternoon (4:30 -6:00 PM)
Soccer Field: McMeans, Beckendorff, or Seven Lake Jr. High
Prepared by Youth Sports Academy
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Child Name *
First name  Last name
Gender *
F for Female; M for Male
Date of Birth *
MM/DD/YYYY
Age *
Age requirement: 4-10. Kids who were born between 10/15/2004 - 03/15/2011 are eligible.
Grade at Elementary School
If applicable
Elementary School Name
If applicable
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