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Brazilian Soccer Club Registration 2023!
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* Indicates required question
Player's First and Last Name
*
Your answer
Player's Age
*
8
9
10
11
12
13
14
15
16
Gender
*
Male
Female
Birthday
*
MM
/
DD
/
YYYY
School Name
*
Your answer
How did you hear about our soccer program?
*
Brazilian Soccer Club Members
Brazilian SC Website
Facebook
Instagram
AFN Radio
Friend
Email
Internet Search
Soccer Program
*
Ages U12-U16 *Mon & Wed from 1700-1900 and Saturday TBA
Ages U8-U11 *Tue & Thur from 1700-1900 and Saturday TBA
Club Fee
*
Season Fee $150 (1 Month program) until March 31
Season Fee $450 (3 Months program) April 1 - June 23
Season Fee $600 (4 Months program) August 28 - December 16
Other:
Required
Uniform Fee
*
New Players, please purchase the practice uniform and game uniform for your child. There are other optional items if needed.
Practice Uniform $120 (Jersey, short, socks, soccer ball, soccer bag, car sticker)
Game Uniform $200 (Blue jersey, yellow jersey. socks, shorts)
N/A - Already have uniforms
Other:
Required
PAYMENT OPTIONS
*
Please make a full payment within two days to guarantee your child's spot in our Club program.
ZELLE to Kalena Iwashita
kalena.soccer@gmail.com
PayPal to @kalenaiwashita
Medical Conditions
*
None
Other:
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