Holt Junior Rams Soccer Registration for 2018-19
Thank you choosing to join Holt Junior Rams Soccer!

Please fill out all REQUIRED fields. If you need to edit something after you've submitted, you have two options. (1) Start over with a new registration (and mark the box for "Replace previous registration" at the bottom of the form, or (2) email any corrections to hjrsoccer.org@gmail.com Sorry, we're not that high-tech yet :)

Player Information
Child's Last Name *
Your answer
Child's First Name *
Your answer
Jersey Number (enter # for returning players, enter top 3 choices for new) *
Your answer
Date of Birth (mm/dd/yyyy) *
VERY IMPORTANT THIS IS CORRECT
Your answer
Confirm Birth Year *
Gender *
Street Address *
Your answer
City *
Your answer
Zip Code *
Your answer
School District *
Your answer
Grade for 2018-19 School Year *
Parent/Guardian Information
Parent/Guardian 1 (Full Name) *
Your answer
Parent/Guardian 1 (Email Address) *
Your answer
Parent/Guardian 1 (Phone #) *
Your answer
Parent/Guardian 2 (Full Name)
Your answer
Parent/Guardian 2 (Email Address)
Your answer
Parent/Guardian 2 (Phone #)
Your answer
I am interested in volunteering as: *
Required
Any additional comments/information?
* Also list any coach requests and/or requests to play on a team with a friend or relative
Your answer
Check this box if this registration replaces a previous one
(Only check if you already submitted a registration for this player and are making corrections. The earlier registration will be deleted if you check this box)
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