Galacticos FC Clinic
Hosted by Soccer Field Academy
Players Name
First Name
Last Name
Players Date of Birth
-
Month
-
Day
Year
Date
Players Gender
Male
Female
Parents Name
First Name
Last Name
Email
example@example.com
Phone Number
-
Area Code
Phone Number
Please select which session your son or daughter will be attending
3:00-4:00pm (6-9yrs)
4:00-5:00pm (10-12yrs)
5:00-6:00pm (13-15yrs)
Register
Should be Empty: