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Fall 2021 Registration

"*" indicates required fields

1st Parent Name*
A copy of this registration form will be sent to this email.
2nd Parent Name
Address*
Would you like to Coach a team?
Would you like to be a team Mom or Dad?
Child's Name*
Sex*
If your child played in Spring 2021, do you want to remain on the same team?*
MM slash DD slash YYYY
Registration fee*
All players will receive a new upgraded uniform for this season.

Second Child's Name*
Sex*
If your child played in Spring 2021, do you want to remain on the same team?*
MM slash DD slash YYYY
Registration fees - Second Child*
All players will receive a new upgraded uniform for this season.

Third Child's Name*
Sex*
If your child played in Spring 2021, do you want to remain on the same team?*
MM slash DD slash YYYY
Registration fees - Third Child*
All players will receive a new upgraded uniform for this season.

Fourth Child's Name*
Sex*
If your child played in Spring 2021, do you want to remain on the same team?*
MM slash DD slash YYYY
Registration fees - Fourth Child*
All players will receive a new upgraded uniform for this season.

Credit Card
American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
 
When you click submit a copy of your registration information will be emailed to the 1st Parent email listed above.
Please be advised Registration Deadline: July 31, 2021- must add $25 late fee after this date Season Dates: Opening Practice 8/21/21, Season Games 9/11/21 – 11/6/21 Refund Policy: No refunds after July 31, 2021 ***There is a $25 processing fee for all refunds***

Seminiole Youth Soccer - 1325 S. International Parkway, Suite 2211 Lake Mary, FL 32794. Phone: 407-324-5354