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Travel Team Player Registration 2022
Travel Team Player Registration 2022
Lower Merion Soccer Club
2022-02-24T22:33:55+00:00
Travel Team Player Registration 2022
This form is to be used to register a player for the upcoming 2022-2023 LMSC Travel Team Program and confirm the player's spot on his / her team for the following season.
If you did
NOT
play in the LMSC Travel Team Program in 2021-2022, then you will need to upload a file showing proof of birthdate. This can be either a scan of the player's birth certificate or a scan of the player's passport.
All players will need to upload a face photo. Players may not wear a hat or sunglasses in the picture.
Please get a jersey number from your head coach. If you have not yet received one, please select
"Unknown"
in the jersey number drop down menu and then send it to the club registrar later.
The LMSC Club registration fee is $325 per player. This fee is non-refundable. An additional bank fee of $9.73 bank fee will be accessed to your credit card. Payment will need to be made through this registration form. A player is
NOT
considered to be registered until payment is received.
If your head coach gave you a special "Player Registration Code," please be sure to enter it in the form when prompted.
Child's Last Name
*
Child's LEGAL 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
*
Second Phone (Optional)
Primary E-Mail Address
*
Enter Email
Confirm Email
Second E-Mail Address (Optional)
Enter Email
Confirm Email
Parents' Names
*
Enter Child's Month Of Birth (not Parent's)
*
Enter Child's Month Of Birth
January
February
March
April
May
June
July
August
September
October
November
December
Enter Child's Day Of Birth (not Parent's)
*
Enter Child's Day Of Birth
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Enter Child's Year Of Birth (Not Parent's)
*
Enter Child's Year Of Birth
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
Gender
*
Male
Female
Other
Please Select Your Team & Coach
*
Please Select Your Team And Coach
Boys Under 8 A&B (Grant Myers)
Boys Under 9 Wolves Navy (Sam Lane)
Boys Under 9 Wolves Red (Henry Farr)
Boys Under 9 C (Pan Karalis)
Boys Under 9 D (Kyle Grizzard)
Boys Under 10A (David Cassanelli)
Boys Under 10B (Dave Ward)
Boys Under 10C (Wayne McKinney)
Boys Under 10D (James Huth)
Boys Under 10E (Wayne McKinney)
Boys Under 11 Rovers Navy (John Lenart)
Boys Under 11 Rovers Red (Sam Olyaei)
Boys Under 11 Victory (Sina Olyaei)
Boys Under 11 Dominators (Julian Rey)
Boys Under 11 Battle Cattle (Julian Rey)
Boys Under 12A (Dale Haines)
Boys Under 12B (Anthony Haines)
Boys Under 12C (Chris Black)
Boys Under 12D (Derrick Amoako)
Boys Under 13A (Dale Haines)
Boys Under 13B (Bulldogs)
Boys Under 13C (Cobras)
Boys Under 14A (Kendall Walkes)
Boys Under 14B (Mike Beadle)
Boys Under 15A (Blake Griffin)
Boys Under 15B (Mike McGee)
Boys Under 16A (Charlie Dodds)
Boys Under 16B (Ryan Hartzell)
Boys Under 17A (Kendall Walkes)
Boys Under 17B (Art Hernandez)
Boys Under 17C (Pan Karalis)
Boys Under 18A (Jared Harris)
Boys Under 19A (Sam Lane)
Boys Under 19B (August Axtman)
Boys Under 19C (TBDD)
Please Select Team & Coach
*
Please Select Your Team And Coach
Girls Under 8A&B (Grant Myers)
Girls Under 9 Crush Navy (Chris Black)
Girls Under 9 Crush Red (Justine Davis)
Girls Under 9 Crush White (Lynch)
Girls Under 10 Heart Navy (Alex Srolis)
Girls Under 10 Heart Red (Alex Srolis)
Girls Under 10 Heart White (Jeremy Brodovsky)
Girls Under 10 Heart Green (Jeremy Brodovsky)
Girls Under 11A (Rick Bell)
Girls Under 11B (Kaila DeFrancesco)
Girls Under 11C (Corinne Vecchione)
Girls Under 12A (Jesse Zafiratos)
Girls Under 12B (Daniel Remmes)
Girls Under 12C (Derrick Amoako)
Girls Under 12D (Art Hernandez)
Girls Under 13A (Tejan Walcott)
Girls Under 13B (Corinne Vecchione)
Girls Under 14A (Pete Gangl)
Girls Under 14B (Dave Ward)
Girls Under 14C (Ryan Hartzell)
Girls Under 15A (Tejan Walcott)
Girls Under 15B (Andrew Cressman)
Girls Under 16A (Nico Severini)
Girls Under 16B (Kim Coker)
Girls Under 17A (Pete Gangl)
Girls Under 17B (Tejan Walcot)
Girls Under 19A (Jeff Rhodes)
Girls Under 19C (TBDD)
Jersey Number
*
Please enter your jersey number. If you have not yet been assigned a jersey number, select "Unknown" which is found at the top of the drop down menu.
Please Select Jersey Number
Unknown
0
00
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
76
84 (reserved for Rachael)
99
Face Photo For Player
*
Please upload a recent face photo of player. The player may
NOT
be wearing a hat or sunglasses. This is required of
ALL
players.
Accepted file types: jpg, gif, png, jpeg, Max. file size: 64 MB.
Did this person play in the LMSC Travel Team Program in the 2021-2022 season?
*
Yes, played LMSC travel last year
No, did not play LMSC travel last year
Proof Of Birthdate
*
Please upload copy of birth certificate or passport, showing player's birthdate. This is
NOT
needed if you played travel team soccer at LMSC in the current year.
Accepted file types: jpg, gif, png, jpeg, pdf, Max. file size: 64 MB.
Authorization / Release Form
All players will need to submit a filled out Authorization / Release Form to their head coach.
Do
NOT
mail this in to LMSC.
CLICK HERE
to access a copy of the form.
Print out the form, fill it out and give it to your head coach. Do
NOT
give this to LMSC).
Travel Team Player Contract
All players and one parent must read our Travel Team Player Contract. Please
CLICK HERE
to access a copy of our player contract. Be sure to read the entire player contract.
Travel Team Player Contract Consent
*
Our travel team player and at least one parent have read the LMSC Travel Team Player Contract and agree to the terms and conditions of the contract.
Player Registration Code
If your head coach gave you a special "Player Registration Code," please enter it here. If you did not receive such a code from your head coach, please leave this section blank
LMSC Player Registration Fee
The LMSC registration fee is $325, payable by credit card. Please be aware that there is a $9.73 bank fee associated with the registration fee.
Travel Team Registration: $325
*
Price:
Bank Fee
Price:
$0.00
Total Amount
$0.00
Credit Card
Card Details
Cardholder Name
Additional Comments
Please feel free to enter any additional comments here:
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