Chesapeake United Soccer Club
Spring 2010 Registration Form
Travel (Competitive) U10-U14
Advanced (Recreational Plus) U9-U19
Primary Contact Information (Parent Information):
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Last Name |
Primary Phone: |
Primary Email: |
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| Select a Program: |
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Travel (Competitive) |
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Advanced (Recreational) |
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| Player Information (Child Information): |
| First Name |
Last Name |
Birthday |
Age Division |
Gender |
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Submit the completed form by emailing to clubadmin@chesapeakeunited.org or fax to (757) 271-8618.
Submitting this form does not guarantee placement of your child on a soccer team. You will be contacted by the Club to inform you if your child has been placed on a soccer team or not. Should you have any questions, you may contact the Club Administrator at (757) 271-8619.
