A-C Fall Soccer Registration 2018
Player's Last Name *
Your answer
Player's First Name *
Your answer
Street Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Phone Number *
Your answer
Player's Date of Birth *
Your answer
Grade in Fall 2018 *
Parent(s)/ Guardian(s) Name *
Your answer
Email Address
Your answer
Has your child played soccer previously?
If YES, how many years has he/ she played?
Jersey Size *
Sock Size *
A-C Youth Soccer is an all-volunteer league that is dependent on parents to help. If you would be willing to help, please tell us how by selecting any of the following:
Please note that your electronic signature indicates that you, as a parent/guardian agree to indemnify and hold harmless each and all of the officers, coaches, referees, and players of A-C SOC, as well as the school district, parks, and their employees, against any and all claims arising from injuries to or by the applicant. Parents/ Guardians and applicant agree to honor the rules governing the play of the A-C SOC Youth League. *
How do you plan to pay for your registration? *
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