Interest Survey for Bellevue Soccer Club
If your child is interested in soccer and would like to join one of our teams, please complete the form and we will contact you with our options and opportunities for evaluations. We are located off of Hwy 370 and 42nd Street in Bellevue.

If you'd like for BSC to contact you about our soccer programs, please fill out the Parent information at the bottom of the survey.
Email address *
Player Name *
Player Date of Birth *
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Player Gender *
What Program is your player interest in? *
What team did the player play on last year? *
Parent Name
Parent Email
Parent Phone
Submit
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