Superiorland Soccer
Association
Travel Player Registration
Do not press ENTER key. Click on Continue when finished.
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Superiorland Soccer
Association |
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| Season: 2010-2011 | |||
1. Player Information |
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| Last Name: | First Name: | ||
| Date of Birth: | Month Day Year | ||
| Gender: | Male Female | ||
| Email Address: | Telephone: - | ||
| Street Address: | City State Zip Code | ||
| School Attending: | Grade Level: | ||
| Check if you are currently on a travel team | If yes, coach's name: | ||
| Shirt Size: | AL AM AS YL YM YS | ||
2. Parent Information |
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| Mother/Female Gua5dian | |||
| Last Name: | First Name: | ||
| Email Address: | |||
| Daytime Phone: | - | Evening Phone: | - |
| Father/Male Guardian | |||
| Last Name: | First Name: | ||
| Email Address: | |||
| Daytime Phone: | - | Evening Phone: | - |
| Comments: | |||
| Registration Fee: $55 | |||
| Method of Payment: Credit Card Personal Check | |||