2012 Burlingame AYSO Extra Program Assessment SIgn Up Form -- For Makeup Assessment Date
Please note the following age groups: Group Birthday U-14 8/1/98 thru 7/31/00 U-12 8/1/00 thru 7/31/02 U-10 8/1/02 thru 7/31/04
Please select one of the following assessment dates. Each assessment is for players from all participating cities.
THIS DATE HAS PAST. DO NOT CHOOSE THIS DATE (5/20/12)
THIS DATE IS PAST. Saturday, June 2, 2012 Foster City, Seacloud, S3 (synthetic turf)
THIS DATE IS PAST. Saturday, June 16, 2012 Burlingame, Murray Field (natural grass)
Monday, July 2, 2012 San Mateo, Fiesta Meadows -- 6:30pm. Arrive at least 20 mins early.
Please select the players age group.
Assessments are U10 (9-10am), U12 (10-11am), and U14 (11am-noon)
Please indicate if the player is a boy or a girl?
Player's -- First Name
Player's Last Name
Parent's of Guardian's First Name
Parent's Or Guardian's Last Name
Parent's Phone Number
Parent's Email Address
Enter Parent's Email Address Again
What is your home AYSO Region?
Add any additional questions or comments
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