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College Park Boys & Girls Club
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2019 Fall Soccer PGSI (Grades: High School students)
*
Player's First Name:
*
Player's Last Name:
*
Sex:
Male
Female
*
Date of Birth (mm/dd/yy):
E-mail address (highly recommended for communication):
Second E-mail address:
*
Parent #1 First Name:
*
Parent #1 Last Name:
Parent #2 First Name:
Parent #2 Last Name:
*
Address:
*
City:
*
Zip Code:
*
Primary Phone Number:
Phone Number for Text Alerts:
Current Grade:
School attending:
Previous B&G Club Soccer Coach:
*
T-shirt Size:
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Adult X-Large
The College Park Boys & Girls Club is a 100% volunteer organization. Our success is dependent upon the support and dedication of our parents and friends. Please select those areas where you can help.:
Coaching (soccer, t-ball, baseball, softball, basketball)
Administration (registration, equipment, website, e-mail/text updates)
General Activities (snackbar, family events, groundskeeping, awards banquet)
Other
By selecting "agree" below, I give my permission for my child, listed as player(s) above, to join the CPBGC, and agree that I have authority to do so as a legal guardian. I waive any claims against CPBGC or any of it's agents in the event of an accident involving my child. As an adult member of CPBGC, I agree to abide by the bylaws and policies of CPBGC.
*
Agree to join CPBGC and abide by bylaws and policies:
Yes
No
* indicates required fields
SELECT FEE
$65.00 - Full Registration
$0 - Reduced Lunch Registration fee ($50 plus $10 family fee paid after verification)
$0 - Free Lunch Registration fee ($40 plus $10 family fee paid after verification)
Family Fee (Annual Fee required, exempt if you paid fee in the Spring)($10)