Please complete the form below.  You will have the option to pay using the secure payment gateway PayPal when you submit this form.  If you would prefer to mail in your registration, please email request to mvsasoccer@gmail.com

Participant's First Name *
Participant's Last Name *
Parents' Names *
Street Address *
City, State, Zip *
Phone
Parent's Email *
Player's Email *
Gender *	Male  Female
Date of birth (mm/dd/yy) *
Grade *
School
Please select the fee below
Payment Fee *	$60 - Montgomery Village Resident  $65 - Non MV Resident

For up to date info

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Residents must have a Montgomery Village address, a 20886 zip code, and pay Montgomery Village homeowner's fees.