Bluegrass Soccer Club Tryout Registration
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Any 2011, 2010, 2009, 2008, 2007, 2006, 2005 birth year Girls that are interested in joining, please email Director of Coaching Brandon Cummons with any questions (bluegrassscdoc@gmail.com)

Player First Name *
Your answer
Player Last Name *
Your answer
Birth Date *
MM
/
DD
/
YYYY
Email Address *
Your answer
Primary Phone Number *
Your answer
Cell Phone *
Your answer
Interested in trying out as a Goalkeeper *
Last Club Team played on *
Your answer
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