Street Soccer USA - Fall 2018 Registration
Shared School Yard Registration Page
Email address *
Location *
Required
Has your child played with us before? *
Child's Full Name *
Your answer
Gender *
Date of Birth *
MM
/
DD
/
YYYY
Child's Ethnicity *
Does your child have permission to walk/bicycle/take public transportation home alone. *
Education Information *
Grade Level
School Attending *
Your answer
List any known medical concerns/allergies *
Your answer
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