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Table of Contents

>   SCSA Select Soccer  
>   Spring2010TryoutRegistration  
>   Winter Skills Training Registration  

Contact Us

Dan Bernert  
SCSA Select Director  

scsaselectsoccer@gmail.com   





Winter Skills Training Registration

Player Last Name *
 Player First Name *
Home Address *
 City *
 State *
 		Zip Code *
Home Phone *
 Cell Phone
E-mail Address
Please Enter Your E-mail Address
Father's First Name
 Mother's First Name
Player Date of Birth *
 Sex (Select from list) *
Age Group (Select from list) *

* Required to submit this form





 

SCSA Select Soccer  |  Spring2010TryoutRegistration  |  Winter Skills Training Registration


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