Travel Program - Fall 2017 - Registration Form

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First Name:



Last Name:



Street Address:


City:


State:


Zipcode:


Date of Birth:

Month

Day

Year




Parent 1 Name:



Email:


Cellphone:

Area Code

First 3 digits

Last 4 digits



Parent 2 Name:



Email:


Cellphone:

Area Code

First 3 digits

Last 4 digits



Age Group:

Level:

Payment:

Discount Code:

If you do not have a discount code, leave this blank


CLICK ON THE LINK BELOW FOR THE COST OF PLAYER MEMBERSHIP DUES. LATE FEES APPLY AFTER THE DEADLINES IN THE AGE GROUP PLAN DOCUMENT

Membership Plan Information



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

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

By checking this box, I understand that membership dues are nonrefundable after 96 hours of making an online payment and I have read the Payment and Privacy policy. There are no exceptions regardless of reason or circumstance. I futher understand that my child cannot participate in any activities if only a partial payment has been made by the payment deadline unless I am on an approved payment plan.

Click here to read our policy.

By checking this box, I agree to comply with the requirements outlined in the Travel Soccer Rules, Parent Handbook, Membership Plan, and Player Registration checklist. I also agree to submit a Player and Parent Agreement form.

Click here to view these items

By checking this box, I completely read and understand the Membership Plan for my age group. If my child is in the U15 or younger age groups and commits to the Fall season, my child must also commit to the Winter season. If my child is in the U16 or older age groups and commits to the Fall season, my child must also commit to the Winter-Spring season.

Click here to view the Membership Plan