REGISTRATION Membership Level change You have selected the 2023 WEST FALL SEASON membership level. This registration is for the 2023 Fall Recreation Soccer Season - Open to all players ages 4-17. All game will be played at George Smith Complex (also knows as Piscataquog Fields) on West Side. Registration Fee: $45.00 Membership expires after 1 Year. Do you have a discount code? Click here to enter your discount code Discount Code Account Information Already have an account? Log in here Username Password Email Address Full Name LEAVE THIS BLANK Parent Information First Name Last Name Address City State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip Contact Phone Participant Information Name Date of Birth MM/DD/YYYY Age Special Considerations Add Child? No Yes Child's Name Date of Birth MM/DD/YYYY Age Special Considerations Add Child? No Yes Child's Name Date of Birth MM/DD/YYYY Age Special Considerations Processing...
