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Summer Intramural Program
Summer Intramural Program
Lower Merion Soccer Club
2024-05-19T03:11:34-04:00
Summer Intramural Program
This registration form is for the LMSC Summer Intramural Program which is only for 2019 and 2020 births. The program will run on Saturdays from July 13 through August 10.
Name Of Soccer Player
*
Address
*
Street Address
City
State / Province / Region
ZIP / Postal Code
Primary Phone Number
*
Secondary Phone Number (Optional)
E-Mail Address
*
Enter Email
Confirm Email
Secondary E-Mail Address (Optional)
Enter Email
Confirm Email
Parents' Names
*
Birth Date
YYYY slash MM slash DD
Most Recent Soccer Program
Summer Intramural Program - Please Select Desired Division
*
Boys 2019 Advanced (8:30 AM - 9:30 AM)
Boys and Girls 2020 Births (9:40 AM - 10:40 AM)
Girls 2019 Births (10:50 AM - 11:50 AM)
Boys 2019 Beginner (10:50 AM - 11:50 AM)
The registration fee is $100. There will be a bank fee of $3.20
Summer Intramural Program Bank Fee
*
Price:
$0.00
Total Amount Applied To Credit Card
$0.00
Credit Card
*
Card Details
Cardholder Name
Total Amount Applied To Credit Card
$0.00
If you have questions regarding the LMSC Summer Intramural Program, please send an e-mail to
LMSC
ADDITIONAL COMMENTS
Please feel free to enter any additional comments here:
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