My 1st Goal REGIST PAGE

TES SOCCER SCHOOL
Registration Form

* Indicates required field

Parent or Guardian's Name *

First

Last

Player's Name *

First

Last

Player's Age *

Player's Date of Birth (DD/MM/YYYY) *

Player's Current Club *

Parent or Guardian's Email *

Parent or Guardian's Address *

Line 1

Line 2

City

State

Zip Code

Country

Cell Phone Number *

Home Phone Number *

Player's Gender *

Girl Boy

My 1st Goal Indoor Program *

Session 1 Session 2 Both

Age Group: *

Comments *

Submit

• Please complete the 2 attached waivers and return to philbergen@teamexcelsoccer.com when you drop off your child.