Point Pleasant Soccer Club Sign Ups

Parents Name
Address
City
State
Zipcode
Phone
Cell Phone Number
Parent would be willing to Volunteer for the following	Head Coach Assistant Coach Team Parent Field Lining Fund Raising Treasurer
Is your Child Currently Carded or playing with another travel soccer team.	YES NO
If Yes, Please Explain (Club & Team Name)
Email Address:
For additional Information if needed
Players Name
Child's School
Birth Date
Sex

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