Century United Soccer  
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camp registration
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Century United Camp Registration Form

Please complete the blanks below for online registration.  Please use the Team Tryout form for new players interested in playing on a Century United team.  Other forms and/or payment may be required to complete the registration process.

First name: *
Last name: *

Birthdate: *

Street address: *

City*

State: *

Zip code: *

Phone number: *

email address: *

Gender:
T shirt size: *
Short size: *
Father's name: *
Mother's name: *
This form is being
submitted for:
*
For STAR training
Session 1:
For STAR training
Session 2: