Listowel Minor Soccer Registration

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This form is to be used for those that will be proceeding with NPSK.

If you do not require financial aid, this is not for you. Please check the articles on the web site for the registration link.

This form on its own does not complete your registration for soccer.

This form is to be able to confirm your information with that from what we receive from the Salvation Army (care taker of the NPSK fund). Funds must be approved by NPSK.

Once your have been approved for funds, and you have completed this form, you will be send further info to assist you in being able to complete the registration form without payment. Only at that time that you have been able to completed the registration form are you fully registered.

Email *

Name Player (first and last) *

Birth Date of Player *

YYYY

Name of Parent or Guardian (first and last) *

Email Address so you maybe contacted *

Phone number so that you may be contacted *

Address (#, street, city, postal code) *

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