FUTSAL REGISTRATION 2021-2022
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Student Name (First, Last) *
Current Grade in School *
Parent Name (First, Last) *
Parent Email *
Parent Cell *
Please select the following days/times of the week that work best for your player to train. *
Required
Which program is your player interested in? *
What is your player's Fitness level? *
What is your player's soccer skill level? *
Adult T-Shirt Size *
Payment-  The money raised from the Futsal Academy goes to support our Youth Scholarship fund.  The cost of the program is $55.  There is an option to pay the donation price of $105, which helps support others who may not be able to pay the full price.  Select an option below. *
Please use the space below to give us any other information on your player/athlete you think might be helpful to us.
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