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Player Registration
Merriam 2024 Winter II 4v4 League - Player Registration
1
Complete Form
2
Payment
3
Confirmation
Option:
--Select--
2024 Winter II 4V4
Price:
$189.00
Description:
Merriam 2024 Winter II 4v4 League - Player Registration
= Required Field
Player Information
--Select Player--
GENDER
Please select...
Male
Female
CITY
STATE
--Select--
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
PR
PW
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
AB
BC
MB
NB
NF
NT
NS
NU
ON
PE
QC
SK
YT
DATE OF BIRTH
-SELECT MONTH-
JAN
FEB
MAR
APR
MAY
JUN
JUL
AUG
SEP
OCT
NOV
DEC
-SELECT DAY-
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
-SELECT YEAR-
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
Age Group by DOB:
Select Month/Day/Year
I would like to play up
Desired Age Group
--SEL--
U05 (2020)
U06 (2019)
U07 (2018)
U08 (2017)
U09 (2016)
U10 (2015)
U11 (2014)
U12 (2013)
U13 (2012)
U14 (2011)
U15 (2010)
U16 (2009)
U17 (2008)
U18 (2007)
CURRENT TEAM
CURRENT COACH
School
('24-'25)
:
List names of players you would like to be grouped with:
Comments
How did you hear about us?
Interested in our 2-5 year old Happy Feet program?
Are you interested in coaching your childs team?
Practice night preferences?
Can you practice on Fridays?
Can you practice at 4:00?
CONTACT INFORMATION
GUARDIAN #1
Same as player
STATE
--Select--
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
PR
PW
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
AB
BC
MB
NB
NF
NT
NS
NU
ON
PE
QC
SK
YT
ZIPCODE
1 of the 3 phone numbers below must be filled in
HOME
WORK
CELL
PREFERENCE
Home
Work
Cell
I would like to volunteer
Coach
Assist. Coach
Field Marshall
Referee
Team Manager
GUARDIAN #2 (optional)
Same as player
STATE
--Select--
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
PR
PW
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
AB
BC
MB
NB
NF
NT
NS
NU
ON
PE
QC
SK
YT
ZIPCODE
1 of the 3 phone numbers below must be filled in
HOME
WORK
CELL
PREFERENCE
Home
Work
Cell
I would like to volunteer
Coach
Assist. Coach
Field Marshall
Referee
Team Manager
Add Another Player
CONTINUE
Refund Policy
Contact Info
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