Cicero United Soccer Academy
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JUNIORS Clinic Registration foRM
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Indicates required field
Player Name
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First
Last
Age
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Date of birth (mm/dd/yy)
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Grade
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Select Shirt Size
*
YS
YM
YL
YXL
AS
AM
AL
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Soccer experience
*
None
less than 6 months
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1 -2 years
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Parent(s) Name
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Cell Phone Number
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Email
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Comment
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Please indicate if there are multiple children you are registering for and their names.
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