The Salvation Army Levittown Corps Youth Sports Registration Due by 9/3/2021 Fall Soccer League: Held Saturdays October 2nd-November 6th, 2021

The Salvation Army Levittown Corps Youth Sports Registration Due by 9/9/2022

Fall Soccer League: Held Saturdays October 8th-November 5th, 2022
Athlete's First Name *
Athlete's Last Name *
Age *
Grade *
Gender *

Male Female
Street Address *
City, State, Zip Code *
Parent/Guardian Information
First Name *
Last Name *
Home Number
Cell Number
E-mail Address *
example@example.com
Please check a shirt size for your child **(Shirts tend to shrink)** *

Youth Small 6-8 Youth Medium 10-12 Youth Large 14-16 Adult Small Adult Medium Adult Large
Are you interested in being a volunteer coach? *
If you are interested in coaching what is your shirt size?
With respect to photographs taken during my child's attendance at The Salvation Army Youth Sports Leagues, I relinquish all legal rights for payment or redress in their use in public or private circulation. *
Type Your Name Above
Paid (Internal Use Only)
Team (Internal Use Only)
Any questions please call Royce Jacobs at (215) 945-0717 ext. 14 or email me at

Fitzroy.Jacobs@use.salvationarmy.org
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The Salvation Army Levittown Corps Youth Sports Registration Due by 9/9/2022