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Parent Information (Main Contact Point)

Parent Name *

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Email *

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Address *

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Child Infomation

How Many Children Are You Signing Up?

You Have Coupons Available

Early Bird Special
5/15-6/30 – EarlyBird2024 ($50 OFF)

Sibling Discount – SIBLINGDISCOUNT2024 – 10% Off

3 Siblings Discount – 3SIBLINGDISCOUNT – 20% OFF

Child 1 Name *

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Last

Child 1 – Date of Birth *

Child 2 Name *

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Last

Child 2 – Date of Birth *

Child 3 Name *

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Last

Child 3 – Date of Birth *

Child 1

Gender

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Select Child Experience Level *

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Lots (Club etc)

Child 2

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T-shirt Size (unisex) *

Select Child Experience Level *

None
A little ( SCYSS Classes, Soccer Shots etc)
Some (AYSO etc)
Lots (Club etc)

Child 3

Gender

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Female

T-shirt Size (unisex) *

Select Child Experience Level *

None
A little ( SCYSS Classes, Soccer Shots etc)
Some (AYSO etc)
Lots (Club etc)

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Practice & Game Information:

All practices and games will take place at Providencia Elementary School

Each team has a maximum of 10 players per coach across all age groups

We do offer your child the chance to play above and below their age group. These decisions will be made on case by case basis.

Games are fixed for the entire season, so you can plan your weekends with ease. Here’s the schedule:

U6: 8:45 am meet, 9:00 am kick-off
U8: 9:30 am meet, 9:45 am kick-off
U10: 10:45 am meet, 11:00 am kick-off
U12: 11:45 am Meet, 12:00 am kick off

You can make 1 “Friend Request” to be teamed with a friend. The request must be reciprocated to guarantee the request. “Request Chaining” and “Team Building” is prohibited.

Want to give us more information about your child/children? Leave it here!

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Emergency Contact Name *

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Emergency Contact Phone *

Emergency Contact Email *

Relevant Medical Information *

Please leave any medical information regarding your child

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