Term 4 Registration Form

Have you previously registered with CVFA?*

YesNo
Player Name*

First NameLast Name
Player Birth Date

MonthDayYear
Gender

MaleFemale
Current team & Level
Experience
Player Position
Goals and Aspirations
Parent Contact Name

First NameLast Name
Parent Contact Phone
Parent Contact E-mail
example@example.com
Package*

Group sessions - Full Term 4 (10 Weeks) ($270)Group sessions - Pay weekly ($30pp)One on One Training - Pay Weekly ($60pp)One on One Training - 5 sessions ($250pp)Goalkeeper - Group Session ($30pp)Goalkeeper - Full Term 4 (10 Weeks) ($270)
Age Group and time*

Monday - Development GroupWednesday - One on OnesFriday - Goalkeeper Group 5pmFriday - One on OnesFriday - Elite GroupSaturday - One on Ones
Comments / Questions:
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