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Fall Intramural Program Registration Form
Fall Intramural Program Registration Form
Lower Merion Soccer Club
2020-06-20T19:59:55+00:00
Fall Intramural Program Registration
Step
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Thank you for your interest in the LMSC Fall Intramural Program. Please register your child in the form below. If there is a coaching volunteer associated with this child, please register that person below in the Coaching Volunteer section.
Child's Last Name
*
Child's First Name
*
Address
*
Street Address
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Phone
*
Primary E-Mail Address
*
Enter Email
Confirm Email
Second E-Mail Address (Optional)
Enter Email
Confirm Email
Parents' Names
*
Gender
Male
Female
Other
Birthdate
*
YYYY slash MM slash DD
Please Select Appropriate Division
*
Select A Division
PeeWees Girls (2018 Births) 10:30
PeeWees Girls (2018 Births) 1:00
PeeWees Boys (2018 Births) 9:15
PeeWees Boys (2018 Births) 11:45
PeeWees Boys (2018 Births) 2:15
Neutrons Division (2017 Birth Girls) 10:30
Neutrons Division (2017 Birth Girls) 1:00
Atoms Division (2017 Birth Boys) 9:15
Atoms Division (2017 Birth Boys) 11:45
Atoms Division (2017 Birth Boys) 2:15
Bantams Division (2016 Birth Boys)
Microns Division (2016 Birth Girls)
Juniors Division (2015 Birth Boys)
Quasars Division (2015 Birth Girls)
Intermediates Division (2013 & 2014 Birth Boys)
Protons Division (2013 & 2014 Birth Girls)
Seniors Division (2011 & 2012 Birth Boys)
Electrons Division (2011 & 2012 Birth Girls)
Majors Division (Boys grades 7 & 8)
Cosmos Division (Girls grades 7 & 8)
Practice Availability
Please check which nights your child is
NOT
available for practice. This only applies to the 6-14 year old divisions. It does
NOT
apply to the Pee-Wees, Atoms or Neutrons Divisions (2017 and 2018 births).
NOT Available For Practices On:
Mondays
Tuesdays
Wednesdays
Thursdays
Fridays
Sundays 12:30-1:45
Sundays 2:00-3:15
Sundays 3:30-4:45
Teammate Requests:
Players may list up to three teammate requests. LMSC will do their best to place your child on the same team as these players. We cannot guarantee that we can do this, but we will try.
This does
NOT
apply to the Pee-Wees, Atoms or Neutrons Divisions since players are not placed on set teams for the season in these divisions.
We do NOT know what school players go to. Please do NOT ask us to place your child with friends from a particular school. We cannot make that happen.
We do NOT know what team they were on last year so please do not ask us to put us with last year's teammates. It is fine to list the names of SPECIFIC players.
Teammate Request 1:
Teammate Request 2:
Teammate Request 3:
COACHING VOLUNTEERS
LMSC is dependent on having parents volunteer to coach. Please consider being a coach for your child's team. We are always especially in need of parents volunteering to serve as head coaches in the 6-14 year old divisions.
Coaching Volunter's Last Name
Coaching Volunteer's First Name
Phone For Coaching Volunteer
E-Mail For Coaching Volunteer
Enter Email
Confirm Email
Coaching Preference
Head Coach
Assistant Coach
Head Coach's Preferred Practice Night
Mondays
Tuesdays
Wednesdays
Thursdays
Fridays
Sundays 12:30-1:45
Sundays 2:00-3:15
Sundays 3:30-4:45
Assistant Coach NOT Available To Practice On:
Mondays
Tuesdays
Wenesdays
Thursdays
Fridays
Sundays 12:30-1:45
Sundays 2:00-3:15
Sundays 3:30-4:45
PROGRAM PAYMENT
Payment by credit card includes a $5.00 bank service fee.
Bank Fee
*
Price:
$0.00
Total Amount To Be Applied To Credit Card
$0.00
Credit Card
*
Card Details
Cardholder Name
Additional Comments
Please feel free to enter any additional comments here:
IMPORTANT NOTE
: Please click on the SUBMIT button to enter your registration. You should recieve an e-mail confirmation within two minutes of clicking on the SUBMIT button, confirming your registration.
If you do
NOT
receive a confirmation e-mail, please
IMMEDIATELY
e-mail LMSC right away at
soccer@lmsc.net
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