Training Class 2023-2024 - Registration Form

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First Name:
Last Name:
Street Address:
City:
State:
Zipcode:
Date of Birth:

Month

Day

Year


Experience Level:
Years Playing Soccer:
Past Soccer Experience:
Describe your child:
Besides fun, whats the #1 reason your child plays?

Parent 1 First Name:

Parent 1 Last Name:

Email:
Cellphone:

Area Code

First 3 digits

Last 4 digits


Parent 2 First Name:

Parent 2 Last Name:

Email:
Cellphone:

Area Code

First 3 digits

Last 4 digits


Payment:


By checking this box, I understand that I am paying membership dues for a child in this program. Membership dues are not transferable to another child or parents.


By checking this box, I understand that a child's membership can be terminated due to conduct deterimental to the program by either player or parent.


By checking this box, I understand that this payment is nonrefundable after 96 hours of making an online payment. There are no exceptions regardless of reason or circumstance. I have also read the Payment and Privacy policy.

By checking this box, I agree to sign and submit a participation consent form.