Mississauga United
summer soccer programs (lumpsum payment)
Program
*
Please Select
Development I (Thursdays Only)
Development IA (Thursdays Only) (May & June)
Development IB (Thursdays Only) (July & August)
Development I (Sundays Only)
Development IA (Sundays Only) (May & June)
Development IB (Sundays Only) (July & August)
Development II (Mondays & Wednesdays)
Development IIA (Mondays & Wednesdays) (May & June)
Development IIB (Mondays & Wednesdays) (July & August)
Future Stars II (Mondays & Wednesdays)
Future Stars IIA (Mondays & Wednesdays) (May & June)
Future Stars IIB (Mondays & Wednesdays) (July & August)
Future Stars I (Thursdays Only)
Future Stars 1A (Thursdays Only) (May & June)
Future Stars 1B (Thursdays Only) (July & August)
Future Stars I (Sundays Only)
Future Stars IA (Sundays Only) (May & June)
Future Stars IB (Sundays Only) (July & August)
Super Girls (Thursdays Only)
Super Girls A (Thursdays Only) (May & June)
Super Girls B (Thursdays Only) (July & August)
Multi-sports Summer Camp
Player Information
Name
*
First Name
Middle Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Date
Gender
*
Please Select
M
F
Home Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
School
Guardian 1 Information
Name
*
First Name
Last Name
Relationship to student
*
Home Phone
Please enter a valid phone number.
Cell Phone
*
Please enter a valid phone number.
Email
*
example@example.com
Guardian 2 Information
Name
First Name
Last Name
Relationship to Student
Home Phone
Please enter a valid phone number.
Cell Phone
Please enter a valid phone number.
Email
example@example.com
Primary Emergency Contact
Name
*
First Name
Last Name
Home Phone
Please enter a valid phone number.
Cell Phone
*
Please enter a valid phone number.
Email
*
example@example.com
Secondary Emergency Contact
Name
*
First Name
Last Name
Home Phone
Please enter a valid phone number.
Cell Phone
*
Please enter a valid phone number.
Email
example@example.com
Back
Next
How did you hear about us?
*
Please Select
Come-back players
Friends Referral
Social Media
Google Search
If you are referred by someone from our club, what is his/her name?
Does the student have any allergies that we need to be aware of? If yes, please specify.
Does the student have any other medical conditions that we need to be aware of? If yes, please specify.
My Products
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( X )
Development I (Thursdays) (Early Bird Rate)
$
200.00
CAD
Development 1A (Thursdays) (May & June) (Early Bird Rate)
$
135.00
CAD
Development IB(Thursdays) (July & August) (Early Bird Rate)
$
135.00
CAD
Development I(Sundays) (Early Bird Rate)
$
200.00
CAD
Development IA (Sundays) (May & June) (Early Bird Rate)
$
135.00
CAD
Development IB (Sundays) (July & August) (Early Bird Rate)
$
135.00
CAD
Development II (Mondays & Wednesdays) (Early Bird Rate)
$
360.00
CAD
Development IIA (Mondays & Wednesdays) (May & June) (Early Bird Rate)
$
210.00
CAD
Development IIB (Mondays & Wednesdays) (July & August) (Early Bird Rate)
$
210.00
CAD
Future Stars I (Thursdays) (Early Bird Rate)
$
200.00
CAD
Future Stars IA (Thursdays) (May & June) (Early Bird Rate)
$
135.00
CAD
Future Stars IB (Thursdays) (July & August) (Early Bird Rate)
$
135.00
CAD
Future Stars I (Sundays) (Early Bird Rate)
$
200.00
CAD
Future Stars IA (Sundays) (May & June) (Early Bird Rate)
$
135.00
CAD
Future Stars IB (Sundays) (July & August) (Early Bird Rate)
$
135.00
CAD
Future Stars II (Mondays & Wednesdays) (Early Bird Rate)
$
360.00
CAD
Future Stars IIA (Mondays & Wednesdays) (May & June) (Early Bird Rate)
$
210.00
CAD
Future Stars IIB (Mondays & Wednesdays) (July & August) (Early Bird Rate)
$
210.00
CAD
Super Girls (Thursdays) (Early Bird Rate)
$
200.00
CAD
Super Girls A (Thursdays) (May & June) (Early Bird Rate)
$
135.00
CAD
Super Girls B (Thursdays) (July & August)(Early Bird Rate)
$
135.00
CAD
Multi-sports Summer Camp (Early Bird Weekly Rate)
$
71.00
CAD
Quantity
Price
July 2nd
1
$
71.00
CAD
July 6th
1
$
178.00
CAD
July 13th
1
$
178.00
CAD
July 20th
1
$
178.00
CAD
July 27th
1
$
178.00
CAD
August 4th
1
$
142.00
CAD
Payment Methods
Debit or Credit Card
Choose from one of the PayPal options to
make your payment.
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