Copyright © 2008
Holt Athletic Association
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Online Registration - FALL SOCCER only
Save time by registering online! It's an easy TWO step process.
Complete and submit the short form below, then pay online with Paypal.  A Paypal account is NOT required. 
Please register multiple children one at a time - Enter the first child, click Submit Form and you will have the option to enter additional children.  For payment, click the button corresponding to the number of children you are registering.  Discounts will be applied.  Rates: $70 for first child, second child is $50, additional children $45.
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First
Last
DATE OF BIRTH:
AGE:
Female
Male
Family Information
PARENT OR GUARDIAN:
Last
First
SPOUSE:
ADDRESS:
City
Zip
Street
PHONE:
Home
Work
Cell
PARENT'S PLACE OF EMPLOYMENT:
EMAIL ADDRESS:
New Member
Returning Member
ADDITIONAL COMMENTS:
ARE YOU INTERESTED IN COACHING?
Yes
No
AGE GROUP:
I waive, release and forever discharge, and hold harmless Holt Athletic Association and its Board of Directors, Coaches, and Officials from any liability, claims, demands, actions, and causes of actions whatsoever arising out of or related to any loss, personal injury, or property damage that may be sustained during participation in any sport program of Holt Athletic Association.  I further understand that my registration is NOT complete until I submit payment and no guarantee is made
that my child will be placed on a team without
payment.
SHIRT SIZE:
Yes
ARE YOU REGISTERING MULTIPLE CHILDREN?
No
Player Information
NAME:
GENDER:
By pressing Submit you agree to the above. Registration is not complete without payment.