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FC Premier South | Club Information Request
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Email
*
Your email
Player Name
*
Your answer
Player's Date of Birth
*
MM
/
DD
/
YYYY
Player's Gender
*
Male
Female
Current City of Residence
*
Your answer
Location Preference
*
Huntington Beach, Fountain Valley, Garden Grove
Cypress, Los Alamitos, Hawaiian Gardens, Cerritos
Player Position(s)
*
Your answer
What club or organization does the player currently play for?
*
Your answer
Parent or responsible party full name?
*
Your answer
Parent or responsible party phone number?
*
Your answer
Parent or responsible party email?
*
Your answer
Please click below to accept FC Premier's WAIVER OF LIABILITY
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Yes, I fully accept FC Premier's WAIVER OF LIABILITY.
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