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New Member 
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Please complete and submit the following information to sign up for your FREE trial membership!:

(Please note, only parents / legal guardians that are adults age 18 and over are permitted to sign up as members. Parents or legal guardians may enter data for up to three (3) of their eligible children / players. Eligible players are defined as any children ages 7-18).
Parent / Adult 
First Name:		    Parent / Adult Last Name:
Parent / Adult 
Date of Birth: (mm/dd/yyyy)		    
Parent / Adult 
E-mail Address:
Parent / Adult 
Phone Number:
   
Child / Player # 1
Age Last Birthday		 yrs.   Child / Player # 1 Gender
Child / Player # 1
Soccer Experience
   
Child / Player # 2
Age Last Birthday		 yrs.   Child / Player # 2 Gender
Child / Player # 2
Soccer Experience
   
Child / Player # 3
Age Last Birthday		 yrs.   Child / Player # 3 Gender
Child / Player # 3
Soccer Experience

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Soccer Circle, LLC / 15 Commerce Boulevard Suite 309 / Succasunna, NJ USA / Phone: 201.320.5079 / e-mail: info@soccercircle.com
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