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Player Development Program
Center of Excellence
2008 / 2009 Registration
Come Train with the Best!

Welcome to the PDP On-line Registration Form - Please type normally, making sure to fill in required boxes (*)

THE PDP REGISTRATION FEE IS $55.00
BY REGISTERING FOR PDP, YOU ARE ACCEPTING THE FEES, DEADLINES AND POLICIES AS LISTED ON THE 'COSTS' PAGE AND THE ODP MANUAL!!

Player Information
Session
First Name *
Last Name *
Birth Day * / /
Gender *
Home Phone * (ex. 402-596-1616)
Address *
City *
State *
Zip * (ex. 68138-0000)
Player's Club Name *
Player's Team Name *
Shirt Size*
School
Parent/Guardian Information
Parent's First Name *
Parent's Last Name *
Parent's Other Phone (ex. 402-596-1616)
Parent's Email

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© Copyright 2008: Nebraska State Soccer Association. All Rights Reserved.
"Educating Members in the Game"