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Richfield Soccer Club 2015/2016 Registration Form
All Fields Are Required Except For Player Preference
Player Information
First Name
Last Name
Gender
Birth Date
Address
City
Zip Code

Parent Information
Mother's Name
Mother's Occupation
Father's Name
Father's Occupation
Main E-Mail
Home Phone Use xxx-xxx-xxxx format
Mobile Phone Use xxx-xxx-xxxx format

Team Assignment
Current Team