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TOWN OF CHARLESTOWN, NH- RECREATION DEPARTMENT

FALL SOCCER REGISTRATION

REGISTRATION DEADLINE: (FIRM)- AUGUST 30TH BY 6:00 P.M.

THIS IS NOT A SCHOOL SPONSORED EVENT! 
Do NOT return this form to the SCHOOL!

For additional questions call or text Coach West at 603-477-9455 OR by email: coachjwest22@gmail.com

TOWN OF CHARLESTOWN, NH- RECREATION DEPARTMENT

FALL SOCCER REGISTRATION

REGISTRATION DEADLINE: (FIRM)- AUGUST 30TH BY 6:00 P.M.

THIS IS NOT A SCHOOL SPONSORED EVENT! 
Do NOT return this form to the SCHOOL!

For additional questions call or text Coach West at 603-477-9455 OR by email: coachjwest22@gmail.com

Fall Soccer

Name:

Date of Birth:

Current Age:

Grade entering in the Fall:

Gender:

Check if Interested in Goalie

Player Shirt Size:

Name:

Address:

Phone Number:

I would like to Coach/ Officiate:

Shirt Size (for Coach/Officiate Volunteers Only):

Name:

Address (if different than above):

Phone Number:

Email:

I would like to Coach/ Officiate:

Shirt Size (for Coach/Officiate Volunteers Only):

Amount:

EB2Gov Fee:

Quantity:

Payment Amount:

Notes:

By proceeding and checking this box, both the player and their parent confirm that they have read and agreed to the Charlestown Recreation Player & Parents’ Code of Ethics. All parties acknowledge their shared responsibility, along with coaches, to ensure that youth sports are enjoyable and positive. Players and parents are required to review and adhere to the guidelines outlined in the Code of Ethics.

Please use this link to read the full Charlestown Recreation Player & Parents’ Code of Ethics.

Player Information

Parent/ Guardian Information

Additional Parent/ Guardian Information

Transaction Details