Summer Clinic- Juventus Academy SV
Please fill out our registration form
Dates
Week 1: June 14th-June 18th// Week 2: June 21st-June 25th// Week 3: June 28th-July 2nd// Week 4: July 5th-July 9th//
Player Information
Age, gender, etc.
Player's Name
First Name
Last Name
Player's Birth date
-
Month
-
Day
Year
Date
Player's Club
Club Name
Player's Level
Academy
NPL
ECNL
Premier
Gold
Silver
Bronze
Recreational
Player's Gender
Female
Male
Player's Position
Player's Shirt Size
Phone Number
-
Area Code
Phone Number
Week(s) Attending
June 14th - June 18th
June 21st - June 25th
June 28th - July 2nd
July 5th - July 9th
Payment Information
Please select your section
My Products
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One Week Full Day
$
325.00
9am-3pm
One Week Half Day
$
275.00
9am-12pm
2 Week Full Day
$
575.00
9am-3pm
2 Week Half Day
$
525.00
9am-12pm
4 Week Full Day
$
1,050.00
9am-3pm
4 Week Half Day
$
1,000.00
9am-12pm
Enter coupon
Apply
Total
$
0.00
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Buyer Name
First Name
Last Name
Buyer E-mail
Submit
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