2019 Grassroots Symposium - Player Registration Form
Alberta Soccer is pleased to welcome you to the 2019 Grassroots Symposium. This registration form is for U5 and U6 players (those in the Active Start phase of Long Term Player Development).

Please complete the following registration form and Alberta Soccer will reach out to you prior to the event with important details.

Which location do you wish to register for? *
Required
Child's name *
Your answer
Child's Date of Birth *
MM
/
DD
/
YYYY
Address: *
Your answer
Parent/Guardian Name *
Your answer
Parent/Guardian Phone (mobile) *
Your answer
Parent/Guardian Email *
Your answer
If there are any health concerns the Alberta Soccer staff should be aware of, please describe them below (noting that parents will remain with the child at all times during the event):
Your answer
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