World Champion Soccer Academy Registration

Player Registration

Please fill out the form below to begin the registration process for each player you'd like to register. This form will allow you to register up to 4 players at once. On the next page, you'll enter your payment details and complete registration.

Step #1. Parent/Guardian Contact Information

Your First Name *

Your Last Name *

Email *

Phone *

Address *

City *

State *

Postal code *

Please input the name of any additional parent/guardian you'd like to be listed

Number of Players? *

Step #2: Player Information

Player 1 Name *

Player 1 Date of Birth *

Player 1 Gender *

Player 1 Special Needs *

Player 1 Allergies *

Player 1 T-Shirt Size *

Player 2 Gender *

Player 2 T-Shirt Size *

Player 3 Gender *

Player 3 T-Shirt Size *

Player 4 Gender *

Player 4 T-Shirt Size *

I agree to terms & conditions provided by the company. By providing my phone number, I agree to receive text messages from the business.

Waiver Signature *

Clear

By signing above, I acknowledge that I have read and understand the required waivers and agree to their stipulations as outlined therein.

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CONTACT US

Phone: (855) 626-9272

Email: worldchampionsocceracademy@gmail.com

CONTACT US

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