Etobicoke Youth Soccer Club
59 Clement Road
Toronto, Ontario, M9R 1Y5
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:
