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Holiday Blast - 2022 Adult Registration
Team Information
Team Name
*
Manager Information
Manager Name
*
Manager Email
*
Street Address
*
City
*
State
*
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:
*
Men's Open - Dec 26th or Dec 28th
Men's Rec- Dec 26th or Dec 28th
Coed Open - Dec 27th or Dec 29th
Coed Rec- Dec 27th or Dec 29th
My Team has a preference of playing on the following date:
This preference is NOT guaranteed.
*
Monday Dec 26th
Wednesday Dec 28th
No preferences
We do not know at this time
My Team has a preference of playing on the following date:
This preference is NOT guaranteed.
*
Tuesday Dec 27th
Thursday Dec 29th
No preferences
We do not know at this time
*Open is the higher level.
Registration Fee:
*
Adult Holiday Blast - $230
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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