Travel Program 2020-2021 - Registration Form

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

Month

Day

Year



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


Age Group:

Payment:

Please note that when you select automatic payments, the first payment is taken out immediately and subsequent payments are taken out on the 1st or 15th starting with the next month. The specific day is stated in the confirmation email AND in the final webpage that you see in the registration process. Automatic payment do NOT coincide with the payment deadlines in the membership plan.

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 comply with the requirements outlined in the travel soccer rules and player registration checklist. I also agree to sign the Membership Agreement.

By checking this box, I completely read and understand the Membership Plan document for my age group. I have also read thru the Parent handbook.