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REQUEST INFORMATION

Phone: 

(920) 289-0054

Email:

haywoodsd@yahoo.com

Mailing Address:

Back of the Net Soccer Academy

906 W 7th Ave.

Oshkosh, WI 54902

 

Back of the Net Soccer Academy Interest Form

Name:

 

Address:

 

City:

 

State:

 

Zip:

 

Home Phone:

 

Work Phone:

 

Cell Phone:

 

E-mail:

 

 

Tell us about yourself:

Coach    Parent     Player     Club

I am interested in information regarding (check all that apply):

Recreational

Personal Training

Select

Team Camps / Clinics

Olympic Development Program

Soccer Organization Camps / Clinics

High School

Coaches Training

College

Referee Training

Soccer Club Board Member / Administrator

Questions or Comments:

Contact Scott Today

(920) 289-0054

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