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2008 ONLINE REGISTRATION
Register to Play for 2 Teams and Receive 10% Discount on the 2nd Team Registration Fee
PLAYER INFORMATION
*
Last Name:
*
First Name:
Middle Initial:
(optional)
*
Street Address:
*
City:
*
State:
*
Zip:
*
Phone:
Cell Phone:
*
E-Mail Address:
*
Gender:
Choose One
Male
Female
Height:
Weight:
(optional)
*
Player level:
Choose One
Recreational
Competitive
*
Are you 17 years of age or older?
Choose One
YES
NO
You must be 17 years or older to play at Culter Bay Soccer Club
*
Driver's License:
*
Age:
TEAM INFORMATION
*
Division Desired:
Choose One
Women's 5 x 5
Men's 8 x 8
TEAM REGISTRATION
*
Register as an Individual ($75):
*
Register to play in 2 Teams ($142)
:
Team Name:
(If you sign as an individual we will assign you to a team)
*
Jersey Size:
Choose One
Small
Medium
Large
Xlarge
Team-NO SIZE
*
How will you be paying? Credit Card:
Check:
You must be 17 years or older to play at Culter Bay Soccer Club
*
Required Fields
