Elite Soccer Academy Sign Up Form

Athlete's Name *

First Name

Last Name

Parent's Name *

First Name

Last Name

Parent's Cell Phone *

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Mailing Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

By Signing Up For this Program, Purchaser Acknowledges and Accepts the Following: *

All sales are final

All sessions are non-transferable, non-refundable, are only valid for the days and times specified in this program, and expire at the conclusion of this program

A wavier is required in order to participate in this program