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.
Format: (000) 000-0000.
Cell Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Guardian 2 Information
Name
First Name
Last Name
Relationship to Student
Home Phone
Please enter a valid phone number.
Format: (000) 000-0000.
Cell Phone
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
Primary Emergency Contact
Name
*
First Name
Last Name
Home Phone
Please enter a valid phone number.
Format: (000) 000-0000.
Cell Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Secondary Emergency Contact
Name
*
First Name
Last Name
Home Phone
Please enter a valid phone number.
Format: (000) 000-0000.
Cell Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
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 Only)
$
225.00
CAD
Development IA (Thursdays) (May & June)
$
150.00
CAD
Development IB (Thursdays) (July & August)
$
150.00
CAD
Development I (Sundays Only)
$
225.00
CAD
Development IA (Sundays) (May & June)
$
150.00
CAD
Development IB (Sundays) (July & August)
$
150.00
CAD
Development II (Mondays & Wednesdays)
$
400.00
CAD
Development IIA (Mondays & Wednesdays) (May & June)
$
230.00
CAD
Development IIB (Mondays & Wednesdays) (July & August)
$
230.00
CAD
Future Stars I (Thursdays Only)
$
225.00
CAD
Future Stars IA (Thursdays) (May & June)
$
150.00
CAD
Future Stars IB (Thursdays) (July & August)
$
150.00
CAD
Future Stars I (Sundays Only)
$
225.00
CAD
Future Stars I (Sundays) (May & June)
$
150.00
CAD
Future Stars IB (Sundays) (July & August)
$
150.00
CAD
Future Stars II (Mondays & Wednesdays)
$
400.00
CAD
Future IIA (Mondays & Wednesdays) (May & June)
$
230.00
CAD
Future Stars IIB (Mondays & Wednesdays) (July & August)
$
230.00
CAD
Super Girls (Thursdays Only)
$
225.00
CAD
Super Girls A (Thursdays) (May & June)
$
150.00
CAD
Super Girls B (Thursdays) (July & August)
$
150.00
CAD
Multi-sports Summer Camp (Weekly)
$
79.00
CAD
Quantity
Price
July 2nd Week
1
$
79.00
CAD
July 6th Week
1
$
198.00
CAD
July 13th Week
1
$
198.00
CAD
July 20th Week
1
$
198.00
CAD
July 27th Week
1
$
198.00
CAD
August 4th Week
1
$
158.00
CAD
August 10th Week
1
$
198.00
CAD
Payment Methods
Debit or Credit Card
Choose from one of the PayPal options to
make your payment.
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