Midwest Youth Soccer Registration Form
Event Time: July 4th-7th, 2024
Event Address: 2422 Dempster St, Evanston, IL 60202

We will have game for 3 age group:
5 and 6 years old
7,8 and 9 years old
10,11 and 12 years old

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Email *
Player Full Name *
Date of Birth *
MM
/
DD
/
YYYY
Gender *
State *
Preferred Position(s)
Parent/Guardian - Full Name *
Relationship to Player *
Phone Number *
E-mail address
A copy of your responses will be emailed to the address you provided.
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