Corban Soccer Academy

REGISTRATION FORM

* Required fields.

PLAYER Information
*Players First Name:
*Players Last Name:
*Age:
* Boy Girl
Team:
*Position (check all that apply):	Offense Defense Midfielder Goalie
*Playing Level (check one):	Beginner Intermediate Advanced
Closest Field/Park:
Address of Field/Park:
Please check all the days your child is available to be coached and the best times:
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday

PARENT / GUARDIAN Information
*Parent/Guardian First Name:
*Parent/Guardian Last Name:
*Street Address:
*City:
*Zip Code:
*Tel #:
*Email address:
Comments (personal goals as a player, weaknesses, etc):
Please tell us how you found out about Corban Soccer Academy (check all that apply):	Relative Friend Coach Teammate Brochure Website Other Advertisement

The player and coach work out field time and location. Payment received after first session and in advance for following sessions. Coaches provide some equipment such as soccer balls, cones, and other needed equipment.

Corban Soccer Academy is not responsible for any incidental injuries that may occur to player during training session. 50% of payment due if cancellation occurs less then 12 hours of scheduled practice. Full payment for missing session without notice. Cancellations due to weather will be rescheduled.

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