Central Dauphin East Soccer Assessment

Wednesday, April 25th

3:15 PM


Register Today!


This assessment will take
place at the

CDE Soccer Fields.


Please check in with your

coach for exact location.

Athletes Name:
DOB (mm/dd/yy):
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!