General Registration Form

Emergency Contact & Medical Information
Primary Emergency Contact Name*

First NameLast Name
Phone Number*

Area CodePhone Number
Email
example@example.com
Relationship to Player*
Does the player have any allergies we need to be aware of?*

YesNo
Please describe the player's allergies
Does the player have any other medical conditions that we should know of?

YesNo
Please describe the player's medical conditions

Training Locations
Which borough are you interested in receiving training at?

BronxQueensBrooklynManhattan

Organization Options
Do you plan to register more participants?*

YesNo
How many participants do you plan to register?*

1 more participant2 more participants

Soccer Classes*

1 Training Day/Week($125.00 por el primer mes después,$65.00 por cada mes)

$60 Non-Refundable Registration Fee Applies

2 Training Days/Week($155.00 por el primer mes después,$95.00 por cada mes)

$60 Non-Refundable Registration Fee Applies

3 Training Days/Week($205.00 por el primer mes después,$145.00 por cada mes)

$60 Non-Refundable Registration Fee Applies

Introduzca Cupón

Total $0.00

Participant Information