Lehigh Valley Magic Soccer Club Spring 2012 Registration Form

Lehigh Valley Magic Soccer Club

Fall 2012 Tryout Registration Form
Full Name

First NameLast Name
Birth Date

MonthDayYear
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number

Area CodePhone Number
E-mail
School Currently Attending
Age group trying out for
What club did you play with
Please download RG-6 FORM REQUIRED FOR TRYOUT from our home page and bring to tryout

http://www.epysa.org/assets/pdfs/Participant_Registration_Form_UPDATED__RG-6_.pdf
Should be Empty: