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Genola Youth Soccer
Player #1 Information
First Name
*
Last Name
*
Please Select One
*
Pre-K and K
Grades 1 & 2
Grades 3 & 4
Grades 5 & 6
Grades 7 & 8
If
your child already has a jersey, you can skip down to the next question. If you need a jersey, please fill out this section.
New jerseys are $20. New socks are $6.
Please indicate the size below.
Jersey Size
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Socks
Yes, my child needs a new pair of socks
Gender
*
Male
Female
Date of Birth
*
Upcoming Grade in School
*
Playing age as at start of season
*
4
5
6
7
8
9
10
11
12
13
14
Residence in league boundary?
*
Yes
No
Player #2 Information
First Name
Last Name
Please Select One
Pre-K and K
Grades 1 & 2
Grades 3 & 4
Grades 5 & 6
Grades 7 & 8
If
your child already has a jersey, you can skip down to the next question. If you need a jersey, please fill out this section.
New jerseys are $20. New socks are $6.
Please indicate the size below.
Jersey Size
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Socks
Yes, my child needs a new pair of socks
Gender
Male
Female
Date of Birth
Upcoming Grade in School
Playing age as at start of season
4
5
6
7
8
9
10
11
12
13
14
Residence in league boundary?
Yes
No
Player #3 Information
First Name
Last Name
Please Select One
Pre-K and K
Grades 1 & 2
Grades 3 & 4
Grades 5 & 6
Grades 7 & 8
If
your child already has a jersey, you can skip down to the next question. If you need a jersey, please fill out this section.
New jerseys are $20. New socks are $6.
Please indicate the size below.
Jersey Size
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Socks
Yes, my child needs a new pair of socks
Gender
Male
Female
Date of Birth
Upcoming Grade in School
Playing age as at start of season
4
5
6
7
8
9
10
11
12
13
14
Residence in league boundary?
Yes
No
Household / Adult Primary Contact
Home Phone
*
Cell Phone
Family E-mail Address
Street Address
*
Address Line 2
City
*
State
*
Zip
*
Coaching soccer can be a rewarding experience. Everyone who coaches will receive a refund for one child's fees (excluding uniform costs) when they return the equipment to the city.
Father's Name
*
Father Can Help As
*
Manager
Coach
Team Parent
Score Keeper
Sponsor
Not At This Time
Mother's Name
*
Mother Can Help As
*
Manager
Coach
Team Parent
Score Keeper
Sponsor
Not At This Time
If you or your child would like to ref. please enter your information below. Refs are paid per game.
Name and Phone Number
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