6/26 Skills Clinic Registration Form

6/26 Skills Clinic Registration Form

Please fill out the information below to reserve a spot!
When: 6-7:30 pm Where: 4S Ranch Sports Park For: Girls ages 8-12
Player's Full Name

First NameLast Name
Player's Age
Club or Team Name
Parent/Guardian Full Name

First NameLast Name
Parent/Guardian Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Parent/Guardian Email Address
example@example.com
I acknowledge that participation in the soccer clinic involves physical activity and I hereby release the clinic organizers from any liability for injuries or accidents. I agree to the terms and conditions.
Parent/Guardian Signature

Media Release: I grant permission for photos or videos of my child to be taken during the clinic to be used for promotional or educational purposes.
Soccer Clinic Registration Fee
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Soccer Skills Clinic Registration
Fee for participation in the soccer skills clinic.

$35.00

Total

$0.00
I hereby grant permission for photographs and video of my child to be used for promotional purposes.
Payment Methods

Fastlane Checkout

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

Contact Info

Payment Info
Should be Empty: