St Demetrios Chicago 2024 Youth Soccer Registration
Player's Name
*
First Name
Last Name
Date Of Birth (required)
*
-
Month
-
Day
Year
Date
Players Gender
Male
Female
Players School Grade
*
Kindergarden
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
Parent 1
*
First Name
Last Name
Parent 1 Email (required)
*
example@example.com
Parent 1 Cell (required)
*
Please enter a valid phone number.
Parent 1 Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Parent 2
First Name
Last Name
Parent 2 Email
example@example.com
Parent 2 Cell Phone
Please enter a valid phone number.
Are you currently (2024) a steward of St Demetrios Church Chicago? (required)
*
Yes
No
My Products
prev
next
( X )
Steward Of St Demetrios Chicago
$
30.00
Quantity
NON Steward of St Demetrios Chicago
$
40.00
Quantity
Credit Card
Submit
Should be Empty: