Cross United FC 8/30 Clinic Registration
This form must be complete by a parent or guardian of the player.
Parent/ Guardian Full Name
*
First Name
Last Name
Birth Date
Phone Number
*
Format: (000) 000-0000.
E-mail
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Players Info
First Name
Last Name
Birth Date (mm/dd/yyyy)
Addition players (if applicable)
First Name
Last Name
Birth Date (mm/dd/yyyy)
Additional Player (if applicable)
First Name
Last Name
Birth Date (mm/dd/yyyy)
Clinic Fees and Participation Requirements. The cost of participation in the clinic shall be $10.00 for current members of Cross United FC (“CUFC”) and $15.00 for non-members. All registration fees must be paid in full prior to the scheduled start time of the event. Payment shall be accepted by cash or check, with checks made payable to Cross United FC. As a condition of participation, all players are required to arrive wearing appropriate soccer cleats and shin pads. Players who do not have the required equipment may be prohibited from participating in the clinic.
*
By checking this box, I acknowledge that I have read, understood, and agree to abide by all of the terms, conditions, and requirements set forth above.
Signature
Submit
Submit
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