Unified Soccer Official Registration Form

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Unified Soccer Official Registration Form

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Email *

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First and Last Name *

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Date of Birth *

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Current Grade *

9

10

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12

Parent/Guardian Name *

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Parent/Guardian Email Address *

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Emergency Contact Name *

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Emergency Contact Phone Number *

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T-Shirt Size *

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Please provide a detailed description of any medical needs or concerns. Leave blank if none.

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