Online Registration

Home Soccer Camps Staff Registration Medical Form Attending Players

Fill this form out and click submit. This may take a minute or two and go to "Internet Explorer cannot display the webpage" This is ok and you will receive an email from me to confirm your registration within 2. However if you do not receive an email please call or email.

Email Dise9@aol.com

Phone # - 412-301-1084

Please provide the following contact information:

Player

First Name

Last Name

Current age

Date of Birth

Male /Female

Please provide the following contact information:

Parent/Guardian

First Name

Last Name

Street Address

Address (cont.)

City

State/Province

Zip/Postal Code

Cell/Work Phone

Home Phone

E-mail

Select any of the following options that apply:

Camp 1 - June 16th-20th
Camp 2 - July 14th-18th
Camp 3 - July 21st-24th
Camp 4 - August 4th-8th ($200 )
Tee Shirt ($15) - Sizes - YS - YL

First Name
Last Name
Current age
Date of Birth
Male /Female

First Name
Last Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Cell/Work Phone
Home Phone
E-mail

Online Registration

Copyright © 2008 [Paradise Soccer]. All rights reserved. Revised: March 08, 2009

Copyright © 2008 [Paradise Soccer]. All rights reserved.
Revised: March 08, 2009