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YOUTH PLAYER REGISTRATION APPLICATION

California State Soccer Association - South20 SEASONAL YEAR-FALLSUMMERSPRINGF irst Name*MILast Name* YOUTH PLAYER REGISTRATION APPLICATIONR elation*Street Address*City*StateZIP*Home Phone**Work Phone**Mobile Phone**Email*Gender*M - Male F - FemaleNew PlayerReturning PlayerIf returning, Cal South PLAYER ID Number: 20 First Name*MILast Name*Gender*DOB (MM/DD/YYYY)*RankSeasons PlayedHeight Name*League*GradeClub*Play Type:Team ID NumberShirt SizeShort SizeSock SizeAge GroupDivisionEmergency Contact #1*Emergency Contact #2 Phone*PhoneIf applicable, list any medical problems(s)/physical limitation(s) the PLAYER has:CoachManager Parental/Volunteer Support:RefereeBoard PositionFieldsPublicityConcessionFundrai singWe, the registrant and the registrant's legal parent or guardian, hereby agree and acknowledge the following: (1) We agree to abide by the rules of Cal South and its affiliated organizations and sponsors.

California State Soccer Association - South. 20 - SEASONAL YEAR. FALL. SPRING. SUMMER. First Name* MI Last Name* YOUTH PLAYER REGISTRATION APPLICATION. Relation*

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