EmailMeForm
Real So Cal Friday Night Ballers
Please enter the following information:
Player Name
*
First
Last
Player Name
First
Last
Player Name
First
Last
Gender
*
Male
Female
Gender
Male
Female
Gender
Male
Female
Birth date
*
Birth date
Birth date
Parent Name
*
First
Last
T-Shirt Size
*
AS
YXL
YL
YM
YS
Are you a current Real So Cal or WVSL Member?
*
Real So Cal
West Valley Soccer League
Not a member
Phone
*
###
-
###
-
####
Contact Email
*
Today's Date
*
MM
/
DD
/
YYYY
Checkbox
*
We agree to release, indemnify, and hold harmless West Valley Soccer League, Real So Cal, its officials, coaches, and/or representatives, and all training locations, from any claim arising out of our child's participation.
We certify that our child (children) are covered by an approved medical insurance plan.
Signature
*
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