AASA's Amputee Soccer Experience for Veterans Registration Form
Thank you for your interest in attending the American Amputee Soccer Association's Amputee Soccer Experience for Veterans, in partnership with Boeing and Move United. This event is for military veterans and/or their families with upper or lower limb difference or amputation. Come experience amputee soccer through skill-building sessions and demonstrations led by national team athletes, mentorship, scrimmages, and educational overviews of the sport. No prior sport experience is needed.

Event Details:
Date: Saturday November 15th, 2025
Time: 11AM-3PM
Location: Michael & Son Rockville Sportsplex
60 Southlawn Court, Rockville, MD 20850
Field 2

What to bring: Athletic apparel, cleats (if you have them) or sneakers, forearm crutches (if you have them), goalie glove (if you have one), and water bottle. Please contact info@usampsoccer.org with any questions or concerns.
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Instagram: 
@usamputeesoccer
@usamputeesoccer_women
Facebook:
@U.S. Amputee Soccer Team
Website:

American Amputee Soccer Association (AASA) is a 501(c)(3) tax-exempt organization.
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Email *
Participant First Name *
Participant Last Name *
Age
Gender
Parent/Guardian First & Last name (if applicable)
Participant or Guardian Phone Number *
Participant Category *
Required
Do you have medical clearance to participate in physical activity? *
Will you need to be provided crutches at the clinic? *
What is your side/level of amputation or limb difference (field players have a lower body limb difference, goalies have an upper body limb difference) *
Which time session are you interested in participating in? *
T-shirt size (unisex) *
Have you played amputee soccer before?
Clear selection
Please list all adaptive sports that you have participated in below:
Will you be traveling from out of state or in need of hotel information? *
A copy of your responses will be emailed to the address you provided.
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