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United Philly - Fall Soccer Fest 2019
Saturday October 12, 2018 (Rain Date Sunday October 13, 2018)
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Club Name
*
Your answer
Team Name
*
Your answer
I am registering multiple teams
*
Yes
No
2019-2020 Age of team registering (if you are registering multiple teams you must fill out a form for each team)
*
U9 Girls - TRAVEL ($200)
U9 Boys - TRAVEL ($200)
U10 Girls - TRAVEL ($200)
U10 Boys - TRAVEL ($200)
U11 Girls - TRAVEL ($225)
U11 Boys - TRAVEL ($225)
U12 Boys - Travel ($225)
U12 Girls Travel - ($225)
U9 Girls - Recreation ($100)
U9 Boys - Recreation ($100)
U10 Girls - Recreation ($100)
U10 Boys - Recreation ($100)
Other:
League your team is registered in for 2019 - 2020 season
*
Phiadelphia Dept Rec
Inter County Soccer League
United Juniors Soccer League
APL League
PAGS League
DELCO League
EDP League
Rec League
Not playing in a league
Other:
Required
Head Coach Name
*
Your answer
Primary Contact Name
*
Your answer
Primary Contact Number
*
Your answer
Primary Contact Email
*
Your answer
Secondary Contact Name
*
Your answer
Secondary Contact Number
*
Your answer
Secondary Contact Email
*
Your answer
Comments
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