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Dallas East Soccer Association
Dallas East Soccer Association
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PLAYER INFORMATION
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First Name/ Nombre:
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Last Name/ Apeido:
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Street/ Calle:
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City/ Ciudad:
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State/ Estado:
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Zip Code/ Codigo Postal:
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Home Phone/ Telefono:
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Birthdate/ Fecha de Naciminto:
Jan
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Email/ Correo Electronico:
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Gender/ Sexo:
M
F
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Age/ Edad:
4
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School Name/ Nombre de Escuela:
PARENT/GUARDIAN #1/ Padres #1
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Firstname/ Nombre:
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Lastname/ Apeido:
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EMail/ Correo Electronico:
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Home Phone/ Telefono:
Work Phone/ Telefono de Trabajo:
Cell Phone:
PARENT/GUARDIAN #2/ Padres #2
Firstname/ Nombre:
Lastname/ Apeido:
Email/ Correo Electronico:
Home Phone/ Telefono:
Work Phone/ Telefono de Trabajo:
Cell Phone:
* indicates required fields