Hollywood PAL Powered by MLS Go

Hollywood PAL Powered by MLS Go

Hollywood
You will need to fill out one registration per child. At the end of the regsitration form you will be taken to our payment portal. Once you have completed the regsitration and payment you can start a new registration form for the next child.
CHILD INFORMATION:
Child Name

First NameLast Name
Birth Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Male/Female
Age on Sept 1
Player Race/Ethnicity
Player Jersey Size
Player Short Size
Player Sock Size
Level experience
Favorite MLS Team
How did you hear about us
PARENT/GUARDIAN INFORMATION:
Parent/Guardian Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number

Area CodePhone Number
E-mail
I am interested in the following:
MEDICAL INFORMATION
Medical Concerns
REGISTRATION WAIVER
Parents with multiple children enrolled will be charged full price ($75) for the first registered child and receive a $10 discount for each child thereafter.

Please select one option below. If it is your first or only child, please select the First Child option. If you are registering your second or more child(ren) please select the Additional Child option.

Your child must be 4 years old by July 31, 2013 to register.

You will need to provide a birth certificate for your child prior to collecting your uniform.
Signature

Soccer Registration$50.00

Enter coupon

Subtotal Tax Total $0.00

Credit Card

Apple Pay

Google Pay

Cash App Pay

REGISTRATION WAIVER