Rangers Holiday Shopping Soccer Clinic Registration 2019

Participant Information

PARTICIPANT 1 - $35 Per Camper

First Name *

Last Name *

Birth Date * +

Gender *

Grade (1st - 6th) *

Shirt Size *

Fee ($) - $35

PARTICIPANT 2 - $25 Per Additional Sibling

First Name

Last Name

Birth Date +

Gender

Grade (1st - 6th)

Shirt Size

Fee ($) - $25

PARTICIPANT 3 - $25 Per Additional Sibling

First Name

Last Name

Birth Date +

Gender

Grade (1st - 6th)

Shirt Size

Fee ($) - $25

Total Fees for all Participants: Make Payment at VRHSSOCCER.COM

0.00

Household / Adult Primary Contact

Relationship to Participants: *

Mother

Father

Guardian

Other Other

First Name *

Last Name *

Address 1 *

Address 2

City *

State *

Zip *

Phone *

Email Address *

Special Instructions

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