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Child's Information
Child's Name
*
First
Last
DOB
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Gender
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Current Grade
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Pick One
PreK
K
1
2
3
4
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7
8
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Years Played
Any Family Members playing ?
Has player played on All Star/Select in the last three years?
*
Yes
No
Has player played on a Travelling team in the last three years?
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Yes
No
Please select T-Shirt Size
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Parental Information
Dad's First Name
*
Dad's Last Name
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Dad's Home Phone
Dad's Cell Phone
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Mom's First Name
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Mom's Last Name
*
Mom's Home Phone
Mom's Cell Phone
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Terms and Sponsorship
Are you interested in coaching a team?
*
It is easy, fun, requires little to no experience in either coaching or soccer. Click 'Yes' if you would like to.
Yes
No
Are you interested in sponsoring a team?
Not at this time - Just the registration ($45)
Yes I am interested ($125) + Registration ($45)
I am interested in sponsoring Chili Day & Soccer ($300) +Registration ($45)
Name of Sponsor:
Appears on back of shirts
Consent
*
I agree
I/We the parent(s) of the child named above who will participate in the SEMO INDOOR SOCCER LEAGUE(SISL), hereb give my/our permission for his/her participation in the activities of SISL in the current season. I/We do hereby further release, absolve, indemnify and hold harmless SISL, Southeast Missouri State University and the Cape Girardeau Noon Optimist Club, organizers, sponsors, officers and coaches. In the case of injury to my/our child, I/We likewise understand that the registration fee covers only the cost of t-shirts and game costs and does not provide insurance coverage, shin guards, knee or elbow pads.
Credit/Debit Card Information
Credit Card
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Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number
Month
01
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09
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Year
2024
2025
2026
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Expiration Date
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Sponsorship & Registration
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Sponsorship & Registration
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