MiniRoos U6-U11 Soccer Registration Form Season 2024
Fill out the form carefully for registration.
Player Name
First Name
Middle Name
Last Name
Birth Date
Please select a day
1
2
3
4
5
6
7
8
9
10
11
12
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31
Day
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a year
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
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2006
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2000
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1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Year
Gender
Please Select
Male
Female
N/A
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Player Mobile Number
Player E-mail
example@example.com
Parent or Guardian Details
First Name
Last Name
Parent or Guardian Mobile Number
Parent or Guardian E-mail
example@example.com
Home Phone Number
Work Number
Emergency Parent or Guardian Details (Other Contact)
First Name
Last Name
Emergency Number (Other Contact)
Dominant Foot
Please Select
Both
Right
Left
Skill level on secondary foot. 1 being the lowest & 5 being the highest.
Please Select
1
2
3
4
5
Favourite Position
Please Select
Goalkeeper
Defender/Full Back
Midfielder/Winger
Forward
Second Favourite Position
Please Select
Goalkeeper
Defender/Full Back
Midfielder/Winger
Forward
Will you be able to train twice a week on a Tuesday & Thursday?
Please Select
Yes
No
Maybe
Will you be available for all game day matches on a Sunday?
Please Select
Yes
No
Maybe
Additional Requirements, Information or Care.
Submit Application
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