Snake River Strikers Soccer Club
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Online Registration

Registration for Spring 2019 has started. Deadline is January 5th, 2019!

Online Registration

Please fill out entire form and then you will be taken to an online payment option.
Player's Full Name:
Player's Date of Birth:  (MM/DD/YYYY)
Gender: MaleFemale
School:
Grade:
Parent or Guardian:
Street Address:
City:
Phone:
E-mail:
Insurance Name:
Insurance Phone:
Insurance Group Number:
Doctor's Name:



Contact Information:
Snake River Strikers Soccer Club
PO Box 244
Burley, ID  83318
E-mail: info@snakeriverstrikers.com

Questions:
Kristina Haymore: (208) 312-2241
Cecilia Espinoza: (208) 312-1250 (Se Habla Espanol)
Corey Wilson: (208) 312-3005
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