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NOW ACCEPTING 2010
REGISTRATIONS

SIGN UP HERE!

2010 COACHES NEEDED

APPLY HERE!

Sign up Form


LIVE SIGN-UPS AT THE LAKE STEVENS BOYS & GIRLS CLUB
MARCH 13TH and April 3rd - Noon til 6pm


Sign Up By April 4th and save
$25.00 off your sign up fee!
(Normally $125.00)


Prefer to print and mail in your registration? CLICK HERE TO PRINT THE OFFLINE FORM

Lake Stevens Viking Youth Football Club

Please also print this before submitting for your records!!

Child's Name: *

Male

Female

Birth Date: *

Birthday Cutoff is JULY31st!
Choose one of these!

PeeWee's (Ages 5-7 @ $100.00 ea)

89'ers (Ages 8-9 @ $100.00 ea)

Juniors (Ages 10-11 @ $100.00 ea)

Experience (# of years): *

Address: *

Unit / Apt:

City: *

State: *

Zip Code: *

Fill out all info

Parent / Guardian 1: *

Home Phone #1: *

Cell / Work Phone #1:*

Cell / Work Phone #2:

Email Address #1: *

Email Address #2:

Fill out all info if appicable

Parent / Guardian 2:

Home Phone #2:

Cell / Work Phone #3:

Cell / Work Phone #4:

Email Address #3:

Email Address #4:

Payment Option: *



PAYMENT INSTRUCTIONS WILL BE PROVIDED ON THE NEXT PAGE

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