Registration

Registration Form

Note: We utilize PayPal as our payment platform. However, a PayPal account is not necessary for you to make a payment. You can still use your credit card option through Paypal platform.

Please fill out the form carefully for registration:

Player Info

Gender

First Name

Middle

Last

Date of Birth:

Enter your birthdate as MM/DD/YYYY. For example, 01/25/1998.

Contact Info

First Name

Middle

Last

Relationship:

Contact Phone:

Contact Email:

Please check all the programs you would like to pay for :

$100 - Elite Academy Deposit (Full-Time & Part-Time) $110 - Elite Academy Part-Time Remaining Balance (2005-2003 ONLY) $290 - Elite Academy Full-Time Remaining Balance (2012-2003) $100 - Mini Futsal Camp (2012-2006)

Total $

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