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2025 LFAC Soccer Clinic Grades 3-8
PLAYER INFORMATION
*
First Name:
*
Last Name:
*
Grade as of September 2025:
3
4
5
6
7
8
*
Birthdate:
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
PARENT/GUARDIAN
*
First Name:
*
Last Name:
*
EMail:
Home Phone:
*
Cell Phone:
MEDICAL/EMERGENCY CONTACT INFORMATION
Emergency Contact:
Phone:
Relationship to Player:
* indicates required fields
SELECT FEE
$62 - 3 Day Soccer Clinic