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Spring 2008 Online Registration
CHOOSE YOUR METHOD TO REGISTER

Questions: (717) 664-2069
Register online with this form , or...

First Name
Last Name
Sex*
Male
Female

Date of Birth

Grade

 
Social Security Number
needed for medical & registration
- -
Shirt Size

Address


City

State
Zip Code
Home Phone

Email Address
— where coaches & administrators can contact you

Father’s Name
Work Phone
Mother’s Name
Work Phone

Any previous soccer experience?
Yes
No
If yes, what was the name of your last team?

If yes, what was the name of your last coach?

TRAVEL TEAM --check only if player has received notice that he/she will be on a travel team:
MANHEIM USE ONLY

MANHEIM USE ONLY

Doctor

Doctor Phone

Emergency Contact
Emergency Phone
Health Concerns / Special Requests

Parents - Check positions you will help with
Head Coach Field Maintenance Snacks
Assistant Coach Fund Raising  
Team Parent Board / Committee

Information Correct
:
Team rosters (Name Only) will be listed on our web site.
Check for your child's name to be listed in the team roster.
NOT listed in the team roster.

...do it the
“old fashioned” way

Click to download a registration form in PDF.
Print it out.
Fill it out.
Mail it out to MSC.

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To download this free software for your computer, click


REGISTRATION FEES

Spring Registration

ENDS MARCH 1ST

INTRAMURAL / REC

Birthdate before
8/1/2001—
$##

Birthdate on or after
8/1/2001—
$##

TRAVEL

Birthdate before
8/1/2001—
$##