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North Brunswick Soccer Club

Buddy Ball Division

Spring 2019 Registration Form

 

Email to:  

Printable Link: Buddy Ball Registration

Opening Day is Saturday, April 6, 2019 @ 10:30 a.m.

 

 

Child’s Name ___________________________________________________________

 

Address:  _______________________________________________________________

        Street                                                City State Zip

 

Home Phone:  _____________________    Date of Birth ___/___/___  Gender __M __F

 

Dad’s Name:  ______________________  Mom’s Name: ________________________

 

Child’s Shirt Size: (circle one)  Child    Sm   Med Large   or Adult    Sm  Med Large

 

Email Address:  __________________________________________________________

 

Emergency Information

 

Doctor’s Name:  _____________________________  Doctor’s Phone: ______________

 

Emergency Contact & Phone:  _______________________________________________


 

Parent/Guardian Signature:       _______________________________________________


 

Please indicate your child’s special needs and any information we may need to know to provide

him/her with a good opportunity and experience:  _____________________________________

Notes: