Junior Supporters Club Registration
Parent or Guardian First Name: *
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Parent or Guardian Last Name: *
Your answer
Parent or Guardian Street Address 1 *
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Parent or Guardian Street Address 2
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City *
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State *
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Zip Code *
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Parent or Guardian Phone Number *
(xxx) xxx-xxxx
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Parent or Guardian Email Address *
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Parent or Guardian Birthdate
MM
/
DD
/
YYYY
Child 1 First Name *
Your answer
Child 1 Last Name *
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Child 1 Birthdate *
MM
/
DD
/
YYYY
Child 1 Favorite Hobby *
Your answer
Child 1 Favorite Chicago Fire Player *
Your answer
Child 1 Favorite Chicago Fire Moment *
Your answer
Child 1 T-Shirt Size *
Child 2 First Name
Your answer
Child 2 Last Name
Your answer
Child 2 Birthdate
MM
/
DD
/
YYYY
Child 2 Favorite Hobby
Your answer
Child 2 Favorite Chicago Fire Player
Your answer
Child 2's Favorite Chicago Fire Moment
Your answer
Child 2 T-Shirt Size
Child 3 First Name
Your answer
Child 3 Last Name
Your answer
Child 3 Birthdate
MM
/
DD
/
YYYY
Child 3 Favorite Hobby
Your answer
Child 3 Favorite Chicago Fire Player
Your answer
Child 3 Favorite Chicago Fire Moment
Your answer
Child 3 T-Shirt Size
I would like to receive the Junior Supporters Club newsletters with special offers, promotions and news regarding the club: *
I understand that I am enrolling my child in the Chicago Fire Junior Supporters Club: *
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Junior Supporter of the Month Entry *
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