Jamaica Plain Soccer Nights 2017 - Player Registration
Player registration is open to children who will be entering 1st-8th grade in Fall 2017.

June 17-July 21, 2017 | 6-8:00pm

Parents, each child requires his/her own registration. If you are signing up more than one child, please fill out a separate form for each child.

Player Information
Child's First Name *
Your answer
Child's Last Name *
Your answer
Child's Street Address *
Your answer
Apartment Number
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Child's Gender *
Grade your child will enter in the FALL 2017 *
Child's School *
Your answer
Child's Birthdate: Month *
Child's Birthdate: Day *
Child's Birthdate: Year *
Has your child played soccer on a city league or club team? *
If yes, which year(s)? Check all that apply:
Does your child have any food allergies or intolerances? *
If yes, please specify:
Your answer
Does your child have any medical, health, or behavioral issues that we should know about? *
If yes, please specify:
Your answer
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