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2023 Maranacook Youth Soccer Registration

Step 1 of 1

Please enter the required information below and click "Checkout" or "Add to Cart".

* Denotes a required field

Payment Information

Player Name*

Grade*

Gender*

Male Female

Shirt Size*

Parent/Guardian Name*

Address*

City*

State*

ZIP*

Zip-Zip +4
Second portion of ZIP Code is optional.

Email*

Please Do Not Complete The Following Field

Phone*

Phone Area Code-Phone 3-Phone 4 ext Extension

The success of our program depends on parent volunteers. Please indicate if you would be willing to help.*

Coach

Assistant Coach

Help

None

Please list any medical conditions or concerns (asthma, allergies, etc…) to be brought to the coaches’ attention.

Release of Liability The undersigned hereby releases the Readfield Recreation Association, the Town of Readfield, its agents and volunteers from any and all claims, suits, actions, and damages arising out of, connected with, or resulting from participation in this activity. I understand there are inherent risks and dangers in participating in these types of activities. I accept responsibility for my child/ children.

Yes*

Yes

Payment Amount

Cost: 1 Child: $25; 2 Children: $50:00; 3 plus Children: $70.00 (Maximum Family Fee)

Payment Amount*

Late Fee*

$10

Notes

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2023 Maranacook Youth Soccer Registration

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