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Get Coach Registration Form 9.23.03

AST NAME FIRST NAME Middle Initial DRIVER'S LICENSE NUMBER STATE CLUB AFFILIATION CLUB NUMBER HOME ADDRESS CITY STATE DOB ZIP M/F COACH LICENSE LEVEL MM / DD / YEAR Submission of your social security number is optional. The SSN is used to validate the SSN and registrant identity. EMAIL ADDRESS SSN It is the intent of the Wisconsin Youth Soccer Association to promote and nurture the advancement of the sport of soccer in the State of Wisconsin. In order to accomplish this mission,.

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