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CCSU ID Clinic Registration
Thank you for registering for the CCSU Women's Soccer ID Clinic on Sunday April 23rd, 2017. Payment of $95 is due on the day of the clinic either with cash or checks made payable to CCSU.
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Your Name?
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Year of High School Graduation?
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Please enter the product number
2017
2018
2019
2020
Other:
Club Team
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Your answer
Club Team Coach
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Your answer
High School
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Your answer
High School Coach
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What position do you prefer to play?
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Goalkeeper
Defender
Midfielder
Forward
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Shirt size
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XS
S
M
L
XL
Other:
Phone number
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E-mail
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Parent/GuardianName
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Parent Guardian emergency contact phone number
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Questions and comments
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