Sunday Soccer Skills Clinic – Registration Form (Age 4)

Sunday Soccer Skills Clinic – Registration Form (Age 4)
Parent / Gaurdian Information
Full Name*
First Name Last Name
E-mail*
I would like to receive news and updates by email
Phone Number*
Secondary Phone Number
Yes, Please add me to the Soccer Whats App for updates and game play information
Child's Information
Full Name
First Name Last Name
Birthdate (must be 4 years old by program start date)

Month Day Year
Registration Fee: $75 (includes team jersey)
*

I give permission for my child to participate in Sunday Soccer.

Payment

Credit Card

We accept Visa, MasterCard, American Express, Discover
Credit Card Number	Security Code
Name on Card
Expiration Month	Expiration Year

Billing Address

Street Address

City

State / Province

Postal / Zip Code

Country

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