CHILDREN'S SOCCER REGISTRATION FORM — ST ROSE OF LIMA GOOD SHEPHERD saint Frances CATHOLIC CHURCH

Date

Date

MM

DD

YYYY

Coach Name

Coach Name

First Name

Last Name

Team Name

Child's Name *

Child's Name

First Name

Last Name

Parent's Name

Parent's Name

First Name

Last Name

Phone

Phone

(###)

###

####

Child's Date of Birth *

Player Number