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Choose a Program

Recreational Program – Ages 4–13 | $130/month

Fun sessions focused on soccer basics and enjoyment.

Academy Program – Ages 11+ | $150/month

Fun yet competitive training focused on skill development.

Name

First

Last

Date of Birth

Gender

3 Preferred Jersey #'s

Uniform Size

Age

Preferred Position

Preferred Playing Times

Name Position Choose

Guardian's Name

Email

Relation

Phone

Address

Address Line 1

Address Line 2

City

State

Zip Code

Comments/Message

Anything we need to know in particular regarding the player or his medical history.

Name

First

Last

Phone

Disclaimer & Signature

I certify that my answers are true and complete to the best of my knowledge
I understand that false or misleading information on my application may result in my release.

Credit Card

Coupon

Total

Item Quantity Qty Total

There are no products selected.

Choose a Program - Recreational Program 1 $130.00

Choose a Program - Academy Program 1 $150.00

Subtotal

Total $130.00