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BAYSIDE FC REGISTRATION
BAYSIDE FC DEVELOPMENT ACADEMY PLAYER ID CLINIC REGISTRATION FORM
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* Indicates required question
Email
*
Your email
PLAYER FIRST NAME
*
Your answer
PLAYER LAST NAME
*
Your answer
PLAYER STREET ADDRESS
*
Your answer
PLAYER CITY
*
Your answer
PLAYER STATE
*
Choose
RI
MA
CT
PLAYER ZIP CODE
*
Your answer
PLAYER CELL PHONE NUMBER, IF AVAILABLE
*
Your answer
PLAYER DATE OF BIRTH
*
MM
/
DD
/
YYYY
PARENT 1 NAME
*
Your answer
PARENT 1 STREET ADDRESS
*
Your answer
PARENT 1 CITY
*
Your answer
PARENT 1 STATE
*
RI
MA
CT
PARENT 1 ZIP CODE
*
Your answer
PARENT 1 HOME NUMBER
*
Your answer
PARENT 1 CELL NUMBER
*
Your answer
PARENT 1 EMAIL ADDRESS
*
Your answer
PLAYER YEAR OF GRADUATION
*
Your answer
PLAYER NATIONALITY
*
UNITED STATES
CANADA
MEXICO
OTHER
NATIONALITY OTHER
*
Your answer
PLAYER COUNTRY OF BIRTH
*
UNITED STATES
CANADA
MEXICO
OTHER
COUNTRY OF BIRTH OTHER
*
Your answer
HAS THIS PLAYER PLAYED THIS SPORT IN ANOTHER COUNTRY
*
YES
NO
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