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Next Level Soccer Training
Registration and Waiver Form
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* Indicates required question
Email
*
Your email
Parent/Guardian Phone Number:
*
Your answer
What program are you primarily interested in?
*
Choose
Elite Club Training
Private Training
Clinics/camps
Club Soccer
Apparel
International Experience
Summer Academy Tryout
Player's First Name:
*
Your answer
Player's Last Name:
*
Your answer
Player's Birthdate:
*
MM
/
DD
/
YYYY
Current Soccer Club or Academy:
*
Your answer
Player Referral Name:
Your answer
Parent/Guardian First Name:
*
Your answer
Parent/Guardian Last Name:
*
Your answer
Additional Siblings Full Names and Birthdays:
Your answer
Would you like to receive Text messages
*
Yes
No
Cell Number:
Your answer
Cell Provider?
Your answer
Parent/Guardian 2 First Name:
Your answer
Parent/Guardian 2 Last Name:
Your answer
Parent/Guardian 2 Phone:
Your answer
Address:
*
Your answer
City:
*
Your answer
State:
*
Your answer
Zip Code:
*
Your answer
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