EGSA TOPSoccer Registration
The TOPSoccer Program offers boys and girls ages 4 to 18 with physical and/or mental challenges the opportunity to participate in an organized game of soccer; to wear a uniform and to play on the same field as their peers. The fundamental goal of this program is to give everyone a chance to play.
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Athlete First Name *
Athlete Last Name *
Date of Birth *
MM
/
DD
/
YYYY
Parent First Name *
Parent Last Name *
Town of Residence *
Required
Phone Number *
Please provide the best phone number to reach you! (###-###-#### format, please)
Email Address *
Submit
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