Annual Player Membership | Mansfield FC Soccer

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Annual Player
Membership Form

Annual fee is $99.00 per child

Players First Name

Players Last Name

Address

Players Birthday

Parent First Name

Parent Last Name

Parent Phone Number

Parent Email

2nd Parent First Name

2nd Parents Last Name

2nd Parent Phone Number

2nd Parent Email

Emergency Contact First Name

Emergency Contact Last Name

Emergency Contact Phone Number

Brith Certifiate File Type?

Image

PDF

Upload Image of Birth Certificate

Upload supported file (Max 15MB)

Upload PDF of Birth Certifiacte

Upload supported file (Max 15MB)

Players Jersey Size

Team

Thank you for being part of the Mansfield FC Family!

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