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BOYS & GIRLS SOCCER CLINIC REGISTRATION ONLINE FORM
Player Last Name
Player First Name
Player Age
Address
City
Zip
Parent Name
Home Telephone
Work Telephone
Emergency Contact
Emergency Telephone
Emergency Email
CLINIC
Date
FEE
: $100
U12
June 25 - 29
U11
July 2 - 6
U10
July 9 - 13
U9 and U8
July 16 - 21
U8 and U7
July 23 - 27
Elite Sport Club Member
(
$20 fee for non members
)
YES
NO
Additional Information:
