CSA Pre-registration

Player's Name *
Full Name as shown on Birth Certificate
Address *
City *
School Attending in the Fall of 2011 *
Grade in Fall 2011 *
Date of Birth *

MM
/
DD
/
YYYY
Upload Birth Certificate
For players entering into the GVSA league for the first time.
Gender *
 Male 
 Female 
What is your date of birth range? *
Please pick group in which the player's birth date falls between and not what group you want to tryout for.
Previous soccer experience *
What age group or coach would you like to try out for? *
Season you intend to play *
 Fall & Spring (U10 - U14 Boys & Girls) 
 Fall U15+ Girls 
 Spring U15+ Boys 
Parent 1 *
Phone 1 *
Email *
Parent 2
Phone 2
Email
How did you hear about us? *
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