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Berkshire Ajax Soccer Club Registration
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Email
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Your email
Player Name
*
Your answer
Player Date of Birth
*
MM
/
DD
/
YYYY
Player phone
Your answer
Player email address
*
Your answer
Home Mailing address
*
Your answer
School attending
*
Your answer
Grade
*
Your answer
Position
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Coach
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Parent or Guardian Name
*
Your answer
Parent or Guardian phone
*
Your answer
Parent or Guardian email address(es)
Your answer
Shirt size
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XL
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Short size
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