Player Registration Form (Winter Camp) – Tiki Taka Soccer Club

Our Mission
Staff
Programs
News & Events
FAQ
Join us Now
Payments
Clinics

Parent/Guardian Information

First Name *

Last Name *

Email Address *

Phone *

DOB *

Format: month/day/year

Player Information

First Name *

Last Name *

DOB *

Format: month/day/year

Gender *

Add Siblings

How many Siblings? *OneTwoThree(max. 3 per application)

Add Players

First Name *

Last Name

DOB *

Format: month/day/year

Gender *

First Name *

Last Name *

DOB *

Format: month/day/year

Gender *

First Name *

Last Name *

DOB *

Format: month/day/year

Gender *

Payment

Price per Player

$

Price per player/registration (Hidden)

SubTotal Payment

$

Total Payment

$

Consent *

I hereby that all information added is accurate.

Take Your Soccer To The Next Level!

© Copyright 2020 – TikiTaka SC