Youth Soccer Class Registration Form ⚽

Youth Soccer Class Registration Form ⚽

Please fill out your details to enroll in the youth soccer classes.
Participant's Full Name

First NameLast Name
Date of Birth

MonthDayYear
Date
Parent/Guardian Name

First NameLast Name
Parent/Guardian Email
example@example.com
Parent/Guardian Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Emergency Contact Name

First NameLast Name
Emergency Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Does the participant have any allergies or medical conditions?
My Products
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Mini Class
This is a 4 week class with classes being held once a week!

$55.00 Quantity



Mini Full Season
This package is for the full summer season (June, July, and August) with classes being held once a week!

$155.00



Junior Class
This is a 4 week course with classes being held once per week!

$65.00 Quantity



Junior Full Season
This package is for the full summer season (June, July, and August) with classes being held once per week!

$185.00 Quantity



Senior Class
This is a 4 week course with classes being held once per week!

$75.00 Quantity



Senior Full Season
This package is for the full summer season (June, July, and August) with classes being held once per week!

$215.00 Quantity



Total

$0.00
Signature
Payment Methods

Fastlane Checkout

Choose from one of the PayPal options to make your payment.

Contact Info

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