Scheduled - City Soccer City Soccer

Pool Payment Options*
- Pool — 3 Months, Pay by Fee
- Pool — 3 Months, Pay by Service
Service Options*
Check all that apply
- Assistant Referee at City Soccer Youth or Adult Programs
- Assistant Trainer at City Soccer Youth or Adult Programs
Information
Under 18 yrs old?
- No
- Yes
Registering more than one child? Enter the number of children below.
Please enter a number greater than or equal to 1.
Name*
First Last
Parent Name*
First Last
Email*
Phone*
Address*
Street Address Address Line 2 City State ZIP Code
Child's Name*
First Last
Birth Year*
2. Child's Name*
First Last
2. Birth Year*
3. Child's Name*
First Last
3. Birth Year*
4. Child's Name*
First Last
4. Birth Year*
Club Affiliation
School
Payment
Total
$0.00
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Comments
This field is for validation purposes and should be left unchanged.

info@citysoccer.org

Information