Etobicoke Youth Soccer Club
5429 Eglinton Avenue West
Etobicoke, Ontario, M9C 5K5
Tel: (416) 622-8726 ~ Fax: (416) 621-4488

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House League Coaching Registration
Name:
Tel:	Home Work Cell
Address:
Apt:
City:
Postal Code:
Email:
I wish to be:  Head Coach    Assistant Coach Player Name:   Relationship to player:   Age Group:   Gender:   Select Male Female My Shirt Size:   Select Small Medium Large X-Large XX-Large XXX-Large
If there is a Coach or Assistant Coach who you would like to work with, please list below:
STUDENTS, Please complete for Community Hours
School:
Birth Date: