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Tots Soccer Registration: Spring 2024
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PLAYER INFORMATION
Player First Name
*
Your answer
Player Last Name
*
Your answer
Player Date of Birth
*
MM
/
DD
/
YYYY
Player Gender
*
Female
Male
Other:
PRIMARY PARENT / GUARDIAN INFORMATION
(person responsible for tuition payment)
Primary Parent First Name
*
Your answer
Primary Parent Last Name
*
Your answer
Primary Parent Email Address
*
Your answer
Primary Parent Phone Number
*
Your answer
SECONDARY PARENT / GUARDIAN INFORMATION
Secondary Parent First Name
Your answer
Secondary Parent Last Name
Your answer
Secondary Parent Email Address
*
Your answer
Secondary Parent Phone Number
Your answer
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