Federal Way Soccer Referees
Association (FWSRA)

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SignUpForClinic

Sign up for Clinic 2318

This is a Entry Grade 8 clinic in FEDERAL WAY starting on 5/12/2008
Classes being taught at Saghalie Middle School, 33914 19th Ave SW, Federal Way, WA 98023

Use this form to pre-register for the Clinic

First name

Last name

Middle initial

Street address

Address (cont.)

City

State/Province

Zip/Postal code

Home Phone

Work Phone (optional)

E-mail

Date of birth

Local Referee or Soccer Association (e.g. FWSA or FWSRA or TPCJSA)

Comments
Anything else you think we need to know about you

First name
Last name
Middle initial
Street address
Address (cont.)
City
State/Province
Zip/Postal code
Home Phone
Work Phone (optional)
E-mail
Date of birth
Local Referee or Soccer Association (e.g. FWSA or FWSRA or TPCJSA)
Comments Anything else you think we need to know about you

Federal Way Soccer Referees Association (FWSRA)

Sign up for Clinic 2318

Copyright John Snyder. Last revised: August 07, 2006

Federal Way Soccer Referees
Association (FWSRA)

Copyright John Snyder.
Last revised: August 07, 2006