Valentis Athletica
Soccer Club
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Academy
Registration
Print form prior to "Submit"
Please mail completed registration form and check made payable to
Valentis Athletica
to:
807 Longford Dr,
Bowling Green,
OH 43402
Program
Academy - Indoor Session 1
Academy - Indoor Session 2
Player's Last name
*
Player's First name
Players's Middle name
Date of Birth
Boy
Girl
Previous Team
Street
City
State/Province
ZIP/Postal Code
Primary phone
Alternate phone
Mobile phone
E-mail address
Alternate e-mail address
Parents Name
Referred By
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