Kings Park Soccer Club
Long Island Winter Classic
On-Line Registration

Complete Form, Click "Continue To Next Step" to pay by credit card, debit card, check or money order.
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Kings Park Soccer Club
P.O. Box 195
Kings Park, NY 11754
(631) 265-6390
www.kpsc.org

Long Island Winter Classic
Team Registration Form


Entry Fee: $320 / Team
When ONLINE

Click for Live Support

All Fields Required Except Where Noted as Optional
Team Name

Team Gender
Boys   Girls
Team Age Group
Division in Which You Would Like to Compete
Major   Minor   -  
Coach's Last Name
Coach's First Name
Home Phone # (xxx-xxx-xxxx)
Street Address
Work Phone # (xxx-xxx-xxxx) (Optional)
Town
State
Zip Code

Cell Phone # (xxx-xxx-xxxx) (Optional)
Email Address

Fax # (xxx-xxx-xxxx) (Optional)
Alternate Contact Name
Alternate Contact Telephone # (xxx-xxx-xxxx)

All requests for specific division or date play are subject to availability and competitive considerations by tournament officials.
Team administrators will be notified for final acceptance of any assignment differing from the team request.



 

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