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Online Registration

Home     Soccer Camps     Staff     Registration     Medical Form     Attending Players

Contact Us     Personal Training     Pay Online     Comments     Sponsors


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



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