Jr Cougars Soccer Registration Form 2017-18
please fill this out in its entirety. this will make the registration process much easier for our staff. Thank You!
Email address *
Player's Name *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Gender *
Which Session will you be playing? *
Team Requesting to Play On
if different from your Birth Year team. If you are not sure, then please leave it blank.
Your answer
Current School
Your answer
Email *
Your answer
Best Phone Number to reach you *
Your answer
Address City & State *
Your answer
Zip Code *
Your answer
Father's Name
Your answer
Father's Phone number
Your answer
Father's Email Address
Your answer
Mother's Name
Your answer
Mother's Phone number
Your answer
Mother's Email Address
Your answer
Uniform Shirt Size
Uniform Shorts Size
Is your Mother or Father interested in helping out?
1st Choice - Uniform Number
Your answer
2nd Choice - Uniform Number
Your answer
3rd Choice - Uniform Number
Your answer
4th Choice - Uniform Number
Your answer
Questions or Comments?
Your answer
A copy of your responses will be emailed to the address you provided.
Please complete the captcha before submitting the form.
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