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Fall 2008 Online Registration
CHOOSE YOUR METHOD TO REGISTER

Questions: (717) 664-2069
Register online with this form , or...

First Name
 Last Name
 Sex*
Male
Female

Date of Birth

Grade
Shirt Size

Address
City
State
 Zip Code
  
Home Phone
 Cell Phone

Email Address — where coaches & administrators can contact you

Father’s Name
Mother’s Name

Any previous soccer experience?
Yes
No		 If yes, what was the name of your last team?

If yes, what was the name of your last coach?

TRAVEL TEAM -- check only if player has received notice that he/she will be on a travel team:
Insurance Company

Insurance Number

Doctor

Doctor Phone
Emergency Contact
 Emergency Phone
Health Concerns / Special Requests

Parents - Check positions you will help with
Head Coach Field Maintenance Snacks
Assistant Coach Fund Raising  
Team Parent Board / Committee

Information Correct

Team rosters (name only) will be listed on our web site.
Check for your child's name to be listed in the team roster
NOT listed in the team roster
...do it the
“old fashioned” way

Click to download a registration form in PDF.
Print it out.
Fill it out.
Mail it out to MSC.

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REGISTRATION FEES

Fall Registration

Ends June 15, 2008

INTRAMURAL / REC

Birthdate before
8/1/2001— $50

Birthdate on or after
8/1/2001— $55

TRAVEL
Birthdate before
8/1/2001— $75