Subscription LOTTO STREET SOCCER Edition 2011

  1. Category 1:          -10 years        born in 2001 - 2002 - 2003 - 2004
  2. Category 2:          -13 years        born in 2000 - 1999 - 1998
  3. Category 3:          -16 years        born in 1997 - 1996 - 1995
     
    Important: the age of the oldest player defines the category you will be playing in!!
Team name
Event
 Oostende/Ostende 
 Leuven/Louvain 
 St Niklaas/St Nicolas 
 Namen/Namur
(datum nog niet bevestigd) 
 Antwerpen/Anvers 
 Brussel/Bruxelles 
 Hasselt 
 Verviers 
 Moeskroen/Mouscron 
 Marche-en-famenne 
Category
Name subscriber *

First
Last
Phone nr subscriber *
Email subscriber *
player 1 + birth date *
player 2 + birth date *
player 3 + birth date *
player 4 + birth date *
player 5 + birth date    (optional)
player 6 + birth date    (optional)


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