New Participant Application Youth Soccer Registration Participant Name(*) Please let us know your name. Participant DOB(*) Invalid Input Parent-Guardian Name(*) Invalid Input Cell Phone(*) Invalid Input Email(*) Invalid Input Street Address(*) Invalid Input City(*) Invalid Input State(*) Invalid Input Zip Code(*) Invalid Input Are you a Kingsbury Club Member?(*) YesNo Invalid Input Current Grade of Participant (choose one)(*) Pre-KKindergarten1st Grade2nd Grade3rd Grade4th Grade5th Grade6th Grade7th Grade8th Grade Invalid Input Skill Level (choose one)(*) Beginner (new to the sport)IntermediateAdvanced Invalid Input Soccer History - Comments (special needs, health concerns, etc.) Invalid Input Terms(*) PLEASE READ TERMS&CONDITIONS HERE Invalid Input I agree to all terms and conditions(*) Yes Invalid Input Send
