PLAYER & PARENTS CONTACT INFO
PLAYER NAME _____________________________________________________

ADDRESS ______________________________________________________________________

CITY _____________________________ STATE_____________________ ZIP _______________

JERSEY NUMBER _______________                   BIRTH DATE ________________________

SCHOOL _____________________________________________

SCHOOL SOCCER SEASON (Month from? to?) ___________________________________

MOM'S NAME ___________________________________________________

MOM'S PHONE __________________________________ CELL?  YES  NO   TEXT?  YES  NO

MOM'S EMAIL ___________________________________ USE FOR REGULAR TEAM CONTACT?  YES  NO

DAD'S NAME ____________________________________________________

DAD'S PHONE __________________________________ CELL?  YES  NO  TEXT?  YES  NO

DAD'S EMAIL ___________________________________ USE FOR REGULAR TEAM CONTACT?  YES  NO

PLAYER'S CELL _________________________________ TEXT?  YES  NO

PLAYER'S EMAIL ________________________________ USE FOR REGULAR TEAM CONTACT?  YES  NO

OTHER PHONE __________________________________ PHONE LOCATION (Home? etc...) __________________

OTHER TRAVEL CONTACT INFORMATION

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