webmaster@dunrobincommunity.com
REGISTRATION FOR 2010 IS NOW CLOSED!! On-line registration is for users with credit card or PayPal payments only. If you wish to pay by cheque, please use the downloadable registration form on the website or contact hardy.mahadeo@dunrobincommunity.com. BEFORE USING THIS FORM, please read the waiver and Conditions on the Micro web page. You will be asked to agree to it on this form.
Micro Soccer Registration
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indicates required fields
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Last, First Name of Child:
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Last, First Name of Parent:
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Birth Date of Participant:
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Age as of January 1, 2010:
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Telephone number:
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Email:
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Are you willing to Assist?:
Yes - Coach
Yes - assistant coach
Yes - end of season BBQ
No thanks
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Address (street, town):
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Postal Code:
Cell number:
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Does your child have any medical conditions?:
Yes
No
If yes, please explain:
I agree to conditions as noted on website:
Yes
No
