Team Registration

Team's Information

Coach Information

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Gender

Male Female

Membership Information

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Amount

Game Referee fee

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$0.00

Team Franchise

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$0.00

Team Registration

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$0.00

Team Website (optional)

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$0.00

Total

$0.00

Credit / Debit Card Information

Credit Card Badges

Card Number

Expiration Date

CVV Code

Same As Contact Information

Card Holder First Name

Card Holder Last Name

I have read and understand the Waiver and Minor Release

2019 DIVISION CHAMPIONS YSSL

U15/FS/3E