Racing Santander clinic Grays Harbor
parent/guardian name
First Name
Last Name
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
Player Name
First Name
Last Name
Player Date of Birth
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Month
-
Day
Year
Date
Soccer Skills Level
Recreational
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Nido Aguila Players
$100.00
$
100.00
Quantity
1
2
3
4
5
6
7
8
9
10
online fees
$10.00
$
10.00
Quantity
1
2
3
4
5
6
7
8
9
10
Non Nido Aguila Players
$135.00
$
135.00
Quantity
1
2
3
4
5
6
7
8
9
10
Credit Card
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