Simple Event Registration Form

Plattsburgh North Country Homeschool Soccer Team
The Plattsburgh North Country Homeschooling Soccer Team will meet at the Assembly of God Church, 164 Prospect Street, Plattsburgh on Saturday afternoons.

The team is for youth ages 12-18.

Every family must bring a soccer ball and each youth needs shin guards. Cleats are highly encouraged but not required.

The first practice will be Sat Sept 8 and will run for 8 weeks, excluding October 6. (9/8, 9/15, 9/22, 9/29, 10/13, 10/20, 10/27, 11/3)

The cost will most likely be $20 per youth.

The coach encourages the parents to remain at the practices.
Parents

First NamesLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Home Phone Number

Area CodePhone Number
Cell Phone Number

Area CodePhone Number
Parents E-mail
Please list each youth separately and select the appropriate age as the insurance is based on the number of youth in each age group.
Name

First NameLast Name
Age
Youth is covered by health insurance
Name

First NameLast Name
Age
Youth is covered by health insurance
Name

First NameLast Name
Age
Youth is covered by health insurance
Name

First NameLast Name
Age
Youth is covered by health insurance
Name

First NameLast Name
Age
Youth is covered by health insurance
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Plattsburgh North Country Homeschool Soccer Team