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Get Form R002-Y 2012

Ccurs last. Club Name: League Name: City: State: I hereby consent to the above-named club registering me with US Club Soccer. I understand that I may be registered to only one US Club Soccer member club at any time. [Note: it will not be necessary to complete this form again as long as the player is with this club, which will hold this form unless requested by US Club Soccer.] ___________________________________ _____________ Player’s Signature Date ________________________________ _____.

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