Interest Survey for Bellevue Soccer Club

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If your child is interested in soccer and would like to join one of our teams, please complete the form and we will contact you with our options and opportunities for evaluations. We are located off of Hwy 370 and 42nd Street in Bellevue.

If you'd like for BSC to contact you about our soccer programs, please fill out the Parent information at the bottom of the survey.

Email *

Player Name *

Player Date of Birth *

YYYY

Player Gender *

Boy

Girl

What Program is your player interest in? *

Micro - Ages 3-5

Recreational - Ages 6-18 - volunteer coach

Academy Program -Ages 8-9 - competitive coach

Select Program - Ages 10-18 - competitive coach

TOPS Program - special needs players of all ages

What team did the player play on last year? *

Parent Name

Parent Email

Parent Phone

Submit

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