LIONS FC REGISTRATION
CHILD/PARENT INFORMATION
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Email *
PLAYER NAME/ NOMBRE DE JUGADOR *
PLAYER LAST NAME / APELLIDO DE JUGADOR *
DATE OF BIRTH *
MM
/
DD
/
YYYY
CLASS TIME *
FATHER'S FIRST & LAST NAME/ NOMBRE Y APELLIDO DE PADRE
FATHER'S PHONE #/NUMERO TELEFONO PADRE
MOTHER'S FIRST & LAST NAME/ NOMBRE Y APELLIDO MADRE
MOTHER'S PHONE #/NUMERO TELEFONO MADRE
ADDRESS/ DIRECCION *
CITY/ CIUDAD *
STATE/ ESTADO *
ZIP CODE/ CODIGO POSTAL *
EMERGENCY CONTACT INFO/ INFO DE CONTACTO DE EMERGENCIA *
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