test page 8 may - DBS International Football Academy

Soccer Camp Only Registration Form

Player Information

Player Full Name(Required)

Player DOB(Required)

Select Camp Start Date – Soccer Only(Required)

Quantity(Required)

Player's current club(Required)

League the player plays in(Required)

Country

State

Gear Sizes(Required)

Does your child have any medical conditions that our staff should be aware of?(Required)

Does your child have any allergies?(Required)

PARENTAL INFORMATION

Parents First Name

Parents Last Name

Parents Email(Required)

Parents Phone Number(Required)

How did you hear about us?

Coupon

You agree to our(Required)

You agree to our Terms & Conditions

PAYMENT INFORMATION

Monthly Price

Credit / Debit Card(Required)