Summer Registration
Sportsmanship-Character-Fun
Name
*
First Name
Last Name
Date of Birth
-
Month
-
Day
Year
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Gender
*
Male
Female
E-mail
*
Autoresponder Email
Phone Number
*
-
Area Code
Phone Number
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Program
*
Cardio Soccer
Lady Kickers
Training Time
*
Tuesdays 6am-7am
Thursdays 6am-7am
Both
Training Time
*
Mondays 6am-7am
Wednesdays 6am-7am
Both
T-shirt size
Please Select
AS
AM
AL
AXL
AXXL
Referrer Name
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Summer Registration
Sportsmanship-Character-Fun
Payment:
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One Session/Week
$
160.00
Two Sessions/Week
$
245.00
Enter coupon
Apply
Total
$
0.00
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