St Demetrios Chicago 2024 Youth Soccer Registration

St Demetrios Chicago 2024 Youth Soccer Registration
Player's Name*

First NameLast Name
Date Of Birth (required)*

MonthDayYear
Date
Players Gender

MaleFemale
Players School Grade*

Kindergarden1st2nd3rd4th5th6th7th8th9th10th11th12th
Parent 1*

First NameLast 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

CityState / Province

Postal / Zip Code
Parent 2

First NameLast 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)*

YesNo

My Products

Steward Of St Demetrios Chicago

$30.00 Quantity

NON Steward of St Demetrios Chicago

$40.00 Quantity

Total

$0.00