SSP REGISTRATION PAGE

Team Excel Soccer Summer Select Program
Registration Form

* Indicates required field

Parent or Guardian's Name *

First

Last

Player's Name *

First

Last

Player's Age *

Player's Date of Birth (DD/MM/YYYY) *

Player's Current Club *

Parent or Guardian's Email *

Parent or Guardian's Address *

Line 1

Line 2

City

State

Zip Code

Country

Cell Phone Number *

Home Phone Number *

Player Plays for Current 2018 Spring Team *

Player is Able to Attend *

Select Team Tryouts

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