Starfinder Youth 2019-2020 Pick-Up Soccer Registration and Waiver
What: Youth Pick-up Soccer at Starfinder’s Indoor Turf Facility
Who: Youth in 8th - 12th grade
Where: Starfinder Foundation, 4015 N Main St., Philadelphia


Cost: $1 per session

Fill out registration form and waiver below. Youth under the age of 18 need parent/guardian signature on Waiver.
Youth's First Name *
Your answer
Youth's Last Name *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Current Grade *
School *
Your answer
Gender *
Required
Race (check all that apply) *
Required
Home Address *
Your answer
City *
Your answer
Zip Code *
Your answer
Youth's Phone Number *
Your answer
Youth's Email *
Your answer
Has the youth participated in Starfinder Programs before? (check all that apply) *
Required
Parent/Emergency Contact Name *
Your answer
Parent/Emergency Contact Phone Number *
Your answer
Parent/Emergency Contact Email *
Your answer
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