Indoor Registration | Stratford Youth Soccer

Number of Players I'd Like to Register for Indoor Soccer*

1st Player's Name*

FirstLast

1st Player's Birth Date*

1st Player Male/Female*

2nd Player's Name*

FirstLast

2nd Player's Birth Date*

2nd Player Male/Female*

3rd Player's Name*

FirstLast

3rd Player's Birth Date*

3rd Player Male/Female*

Parent Name*

FirstLast

Other Parent Name

FirstLast

Email Address (Parent)*

Additional Email (optional)

Address*

Street AddressCityProvincePostal Code

Phone*

Alternate Phone

Medical Notes

Indoor Registration Fee*

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*

I have read and understand the above information and request registration for this player. I verify that the above information is correct.

Stratford Youth Soccer