Central Dauphin Boys Soccer - Athlete Assessment Registration

Athletes Name:
Team Name:
Age:
DOB (mm/dd/yy):
Address:
Parent(s) / Legal Guardian Name:
Home Phone:
-
Cell Phone:
-
Parents E-mail:
Emergency Contact:
Emergency Contact Phone:
-

After completing this form, you will be redirected to our Release of Liability Form. Please print and sign, and bring in with your child on the first day of camp. Thank you!