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Tigers 21 +
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Child's First name
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Child's Last name
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Address
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City
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State
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Zip Code
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Birthday
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Month
Day
Year
Gender
*
Male
Female
Shirt Size
*
Youth X Small
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Adult X Large
Adult 2X Large
Current School. MUST GO TO SCHOOL OR LIVE IN CHICOPEE
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What Grade is your child going into? Grades 1-8
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Parent/Guardian Name
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Phone
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Additional Phone if necessary
Email
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Choose Sport
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Fall Soccer
Special requests? Friends to play with or coach recommendation?
Registration Fee
$50
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