Alianza de Futbol

Fee

$1,350

Age Group

Open Age

City

Philadelphia

Date

September 4 - 5

Venue

United Sports

Rules

Team Name:

Team Country:

Team City:

State:

Team Zip Code:

Is your team affiliated with, or a member of, any state/national soccer organizations?

Contact person first name:

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Cell Phone Number:

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What is your role in the team?

Date Of Birth

Referred By:

How many times have you participated in Verizon Copa Alianza?

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