Century United Soccer  
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tryout registration
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Century United Tryout Registration Form

Please complete the blanks below for online registration.  Please use the Camp Registration form for any activities besides tryouts.  Other forms and/or payment may be required to complete the registration process.


First name: *
Last name: *
Gender:
Birthdate:

Street address: *

City*

State: *

Zip code: *

Phone number: *

email address: *

Current Club:
T shirt size: *
Short size: *
Father's name: *
Mother's name: *