NNESL Club Registration Form
Please submit the information below. This information is needed to set up your accounts in GotSoccer and US Club.

Thank you in advance
NNESL

Club Registration
Club Name *
Your answer
Address (street or po box, city, state & zip) *
Your answer
Club President *
Your answer
Club President Address (street or po box, city, state & zip) *
Your answer
Email *
Your answer
Phone number *
Your answer
Club Admin or Registrar *
Your answer
Club Admin or Registrar Address (street or po box, city, state & zip) *
Your answer
Email *
Your answer
Phone number *
Your answer
DOC (Director of Coaching) if applicable
Your answer
DOC Address (street or po box, city, state & zip) *
Your answer
DOC Email
Your answer
DOC Phone
Your answer
# of Teams *
Your answer
Field Coordinator *
Your answer
Field Coordinator Email *
Your answer
Field Coordinator Phone *
Your answer
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