2021 ST. PETE RAIDERS Player ID Selection
PRE-REGISTRATION FORM
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Player Legal First Name *
Player Legal Last Name *
Gender *
Player Date of Birth *
PLEASE enter in MM/DD/YYYY format
MM
/
DD
/
YYYY
Address *
Address 2
City *
State
Zip Code *
Primary e-mail *
Secondary e-mail
Primary Phone Number *
Secondary Phone Number
2020-21 Age Group
Current soccer Club *
Submit
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