MSC - Mainland Sports Complex Registration Youth Soccer Form

MSC - Mainland Sports Complex Registration Youth Soccer Form

8002 Sand Pebble San Antonio, TX 78250
No Cleats, please
Sport*

Youth Soccer
How many youth players are you signing up?*

123
Please add the name of Youth Player - Please include First Name, Last Name, Birth Date, (Month, Day, Year), Jersey Size. Please include 3 Jersey Number Choices , 0-300 for all players your signing up. If your signing 2 or 3 players please include their information also in this box also with their pertinent information please*
First & Last Name, Birthdate, (month,day, year) Jersey Size. 3 choices of jersey numbers 0-300. please do this for each player if signing up more than 1.
Please add the name of Youth Player # 2 - Please include First Name, Last Name, Birth Date, (Month, Day, Year), Jersey Size. Please include 3 Jersey Number Choices , 0-300*
Please add the name of Youth Player # 3 - Please include First Name, Last Name, Birth Date, (Month, Day, Year), Jersey Size. Please include 3 Jersey Number Choices , 0-300*
Parent of Player/s*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Waiver*

I authorize Mainland Sports Complex to charge my credit card the amount I have entered below for this registration.I acknowledge that my registration becomes non-refundable after completion of the 1st game/practice.
Required*
Signature*

Clear
Comments

Please choose from the drop down. Signing up 2 or more, price will reduce to 135.00 each*

Player's Name (Child) Payment Product Image

Player's Name (Child) PaymentIf you are paying for only 1 player please leave quantity as 1, otherwise if paying for 2 or more please choose accordingly and make sure that youth names, birthday, jersey number preference, Jersey size are listed on the box above this form.

$135.00 Quantity
Item subtotal:$0.00

Total

$0.00

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Should be Empty:

MSC - Mainland Sports Complex Registration Youth Soccer Form

No Cleats, please