Sockers Online Registration Form
Gender
*
None
Boys
Girls
Team's Age
*
U05
U06
U07
U08
U09
U10
U11
U12
U13
U14
U15
U16
U17
U18
Player's Name
*
Email Address
*
Cell Phone #
*
Program
*
SPARC
J-League
Clinics
Gk Clinic
3V3 league
Sckills
Training
Day
*
Not applicable
Tuesday
Friday
Saturday
Sunday
Length of Program
*
2 weeks
3 weeks
4 weeks
5 weeks
6 weeks
7 weeks
8 weeks
9 weeks
10 weeks
11 weeks
Program's cost
*
30.00
45.00
60.00
70.00
75.00
90.00
100.00
105.00
110.00
120.00
135.00
300.00
Type of payment
*
Check
C. card
Cash
Other
Session
*
First Session
Second Sess.
Third Session
Brief Comments
Send or bring your payment to Sockers' office. Online registration is required. Call Leanne to pay by credit card after submitting your form.
.
If you have questions or comments about this site please
contact us.
02/15/2010
B
