Tots Soccer Registration: Spring 2023
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PLAYER INFORMATION
Player First Name *
Player Last Name *
Player Date of Birth *
MM
/
DD
/
YYYY
Player Gender *
PRIMARY PARENT / GUARDIAN INFORMATION
(person responsible for tuition payment)
Primary Parent First Name *
Primary Parent Last Name *
Primary Parent Email Address *
Primary Parent Phone Number *
SECONDARY PARENT / GUARDIAN INFORMATION
Secondary Parent First Name
Secondary Parent Last Name
Secondary Parent Email Address
Secondary Parent Phone Number
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