2017 COED Summit Soccer Registration
1) Season last from July 3 - August 24
2) Sign up Ends June 10
3) Games are Monday, Tuesday, Wednesday or Thursday EVENINGS
4) Cost is $30
Email address *
Gender: *
First Name: *
Your answer
Last Name: *
Your answer
Age: *
(Must be at Least 16)
Your answer
Cell Phone #: *
Your answer
Email Address *
Your answer
Emergency Contact #: *
Your answer
Best way to contact you? *
Home Address: *
Your answer
Men's Shirt Size: *
(Ladies give Men's shirt size in case we can't get women's sizes please)
Women's Shirt Size: *
(Men select none)
COED TEAM ONLY: What Number would you like? (Give at least 3 Options) *
Numbers Taken From last year: 00,1,2,4,5,6,7,9,10,12,13,14,17,18,19,21,35,44,77
Your answer
Do you have health insurance? *
Do you have any previous health conditions or injuries the coach(es) should know about? *
(Please be specific or reply "none")
Your answer
Please briefly explain your playing experience, including positions you are interested in playing? *
For Example: Rec league/Club League/Travel Team/Adult League/College
Your answer
Why do you want to play Soccer for Summit Church? *
Your answer
A copy of your responses will be emailed to the address you provided.
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