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Premier AC Travel Try-outs. Registration Form
Registration Form for Premier Athletics Club Travel Soccer Try-outs
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* Indicates required question
Email
*
Your email
Player First Name
*
Your answer
Player Last Name
*
Your answer
Player Birth Year
*
Choose
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
Team trying out for
*
Choose
Boys 2015 (rising U9)
Girls 2015 (rising U9)
Boys 2014 (rising U10)
Girls 2014 (rising U10)
Boys 2013 (rising U11)
Girls 2013 (rising U11)
Boys 2012 (rising U12)
Girls 2012 (rising U12)
Boys 2011 (rising U13)
Girls 2011(rising U13)
Boys 2010 (rising U14)
Girls 2010 (rising U14)
Boys 2009 (rising U15)
Girls 2009 (rising U15)
Boys 2008 (rising U16)
Girls 2008 (rising U16)
Boys 2007 (rising U17)
Girls 2007 (rising U17)
Boys 2006 (rising U18)
Girls 2006 (rising U18)
Boys 2005 (rising U19)
Girls 2005 (rising U19)
Player Email Address
Your answer
Player cell phone number
Your answer
School
Your answer
Grade in Fall 2023
Your answer
Parent/Guardian Name
*
Your answer
Phone number
*
Your answer
Address
*
Your answer
Additional Parent/Guardian Name
Your answer
Phone number
Your answer
Email Address
Your answer
Emergency Contact (Name)
*
Your answer
Emergency Contact Phone Number
*
Your answer
Relationship to player
*
Your answer
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