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Holiday Blast - 2022 Youth Registration
Team Information
Team Name
*
Manager Information
Manager Name
*
Manager Email
*
Street Address
*
City
*
State
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Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
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
Washington DC
Zip Code
*
Cell Phone Number
*
Second Contact Number
Second Team Contact (optional)
Second Team Contact Email (optional)
Second Team Contact Phone (optional)
Session Registration and Fees
Bracket Selection:
Please select multiple ages if your team is mixed.
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Boys U09 (2014)
Girls U09 (2014)
Boys U10 (2013)
Girls U10 (2013)
Boys U11 (2012)
Girls U11 (2012)
Boys U12 (2011)
Girls U12 (2011)
Boys U13 (2010)
Girls U13 (2010)
Boys U14 (2009)
Girls U14 (2009)
Boys U15 (2008)
Girls U15 (2008)
Boys U16 (2007)
Girls U16 (2007)
Boys U17 (2006)
Girls U17 (2006)
Boys U18 (2005)
Girls U18 (2005)
Boys U19 (2004)
Girls U19 (2004)
Preferred Level:
*
A - National/Regional (Top Level)
B- State/Cites (Lower Level)
Either
*Age Brackets and/or Levels may be combined based on registration numbers. Focus will be to form as competitive brackets as possible.
Fees
Registration Fee:
*
Youth Holiday Blast - $225
Payments will be made through our DaySmart Registration program. Information on that process will be sent out after your initial registration is received.
Soccer Blast Policies and Guidelines Agreement
By signing, I indicate that I am responsible for full payment of the league fee and agree to the rules and policies set forth. I have read and have informed my team about the Soccer Blast Guidelines.
Soccer Blast League Info:
***All players must sign Roster/Waiver form before taking the field***
Must be 16 or older to participate.
Players are only allowed to play on one team in each division.
Soccer Blast reserves the right to place a team in a level deemed appropriate.
Shinguards are required!
Please review Guidelines and Policies prior to participating in a league.
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Date
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