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| Please fill out the Sign Up form completely and send to: |
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Soccer Connections
3029 100th Street
Urbandale, IA 50322
(515) 270-8141 |
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| Personal Information |
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| Name: |
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| Present Address: |
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| Nearest Metropolitan Area: |
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| Date of Birth: |
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| Phone Number: |
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| Family E-mail Address: |
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| Soccer Experience |
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| Have you played soccer before?
Yes
No |
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| If yes, how many years? |
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| Have you had any other soccer experience(s) (i.e., coach,
referee volunteer, etc.)?
Yes No |
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| If yes, how many years and in what capacity? |
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| How would you like to get involved? (circle all that apply) |
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| player |
coach |
referee |
administrator |
volunteer |
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