MHS Cougars Boys Soccer Booster Club
2023 Membership Form
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First Name *
Last Name *
Grade Fall '23 *
Birth Date *
MM
/
DD
/
YYYY
Email *
Phone number *
Address *
City/Town *
Zip *
Parent's Information
Parent 1 name *
Cell Phone *
Parent Email *
Parent 2 name *
Cell Phone *
Parent Email *
Volunteer Opportunities
Please Volunteer
Options
Player's Clothing Sizes
Dry Fit Practice or T-Shirt *
Long Sleeve Jersey or T-Shirt *
Hoodie/Jacket *
Paid with check # (type in your check # here)
Make check ($225) payable to:
MHS Boys Soccer Booster Club
Memo Line: Boys Soccer - CHILD'S NAME

Mail check to:
Montgomery Soccer Booster Club
c/o Kim Toedtman
3 Pecan Valley CT.
Skillman, NJ 08558
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