Fan Select Team Registration MUNICH 2018

BUENOS AIRES 2026 TRIP REGISTRATION

Please complete the registration for each player.
Player Name*

First NameLast Name
E-mail *
Cell Number*
Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Gender*

MaleFemale
Date of Birth*

MonthDayYear
Passport Issuing Country?

USAOTHER
If Other, Please List the Country Issuing your Passport:

Make your Deposit.*

TRIP COMMITMENT BA 2026$500.00

Total $0.00

Credit Card

Travel dates disclosure

I UNDERSTAND THAT DUE TO COVID OR OTHETRAVEL RESTRICTIONS THE TRIP DATES MY BE MODIFIED
Do you Want to Take Advantage of our Fundraising Program?

YESNO
Signature *

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