2019-2020 Jackson County Girls Soccer Informational Form
Must have a completed updated physical to participate
Last Name *
First Name *
Student Number *
Fall 2019 Grade Level *
Student cell number
Student Email address
Primary Position *
Secondary Position *
T-shirt Size *
Short Size *
Sweatshirt Size *
Are you currently playing on a Club team *
If yes, What team
If yes, What level?
Parent Guardian 1 First Name *
Parent Guardian 1 Last Name *
Parent Guardian 1 Email Address *
Parent Guardian 1 Phone Number *
Parent Guardian 2 First Name
Parent Guardian 2 Last Name
Parent Guardian 2 Email Address
Parent Guardian 2 Phone Number
Emergency Contact First Name *
Emergency Contact Last Name *
Emergency Contact Phone Number *
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