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FSTA ELITE ASSESSMENT REGISTRATION
Frank's Soccer Training Academy
868 Visiting Road
Kemptville, ON K0G 1J0
613-258-0149
admin@frankssoccertraining.com
www.frankssoccertraining.com
Participant Info
First Name
*
Last Name
*
Sex
*
F
M
DOB
*
+
Participant Email Address
*Please bring a valid form of ID (Health Card, Passport, etc.) to verify participant's DOB when checking in at assessment.
Jersey Size
*
Youth XS
Youth S
Youth Medium
Youth Large
Youth XL
Adult XS
Adult S
Adult M
Adult L
Short Size
*
Youth XS
Youth S
Youth Medium
Youth Large
Youth XL
Adult XS
Adult S
Adult M
Adult L
Jacket Size
*
Youth XS
Youth S
Youth Medium
Youth Large
Youth XL
Adult XS
Adult S
Adult M
Adult L
Pant Size
*
Youth XS
Youth S
Youth Medium
Youth Large
Youth XL
Adult XS
Adult S
Adult M
Adult L
*Although not all pieces may be required for every age group, please complete all four sections to simplify our ordering process.
Parent Information
Relationship to Participant
*
Mother
Father
Guardian
Other
Other
First Name
*
Last Name
*
Address
*
City
*
Province
*
Postal Code
*
Phone Number
*
Alternate Number
Email Address
*
Registration Deposit & Payment Options
PLEASE NOTE:
Required for commitment to play in the upcoming outdoor season.
This deposit will be subtracted from the Registration Fee due, should the participant accept a spot on one of our teams. Participants will be automatically refunded if they are not offered a spot, or there is insufficient players to form a team, at their age group.
Deposit is fully refundable up to the deadline provided. Participants withdrawing after this deadline will
NOT
receive a refund. The 2020 deadline to withdraw is
March 15
, 2020*
.
Registration Deposit
*
Development (9-12 YRS)
Youth Competitive (13-18 YRS)
*Please visit our website for full details on registration fees. Uniform and Team Fees are separate costs that will be identified at the time of registration.
Please make cheques payable to FSTA OR email transfer to admin@frankssoccertraining.com
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Signature
*
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Thank you for choosing FSTA!
Verification of Participant's DOB
Health Card
Birth Certificate
Passport
Other
Other
Payment Received?
E-Transfer
Cash/Cheque
Date:
Date:
Verified By _____________________ on ______________________
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Last updated: 2017