Emmanuel Baptist Church - Oshawa

Soccer Pre-Registration

• Name of child*
  First Name

  Last Name
• Grade
  This is the grade your child is in currently.
  Grade One

  Grade Two

  Grade Three

  Grade Four

  Volunteer
• Date of Birth (Players and Volunteers under 18 only)
  MM

  /

  DD

  /

  YYYY
• Phone Number*
   

  (###)

  -

  ###

  -

  ####
• Address
  Street Address

  Address Line 2

  City

  Province / State / Region

  Postal Code / Zip

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  Country
• Your E-mail
   
• Name of parent*
  First Name

  Last Name
• Shirt Size (youth sizes)
  Small

  Medium

  Large

  Volunteer - you can tell me later :)