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FSTA FUNdamentals 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
*
+
Please select your child's jersey size.
*
Youth XS
Youth S
Youth M
Youth L
Youth XL
Adult S
Adult M
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
*
Fees
Please select your child's age group.
*
4-6 YRS (2016-2014)
7-8 YRS (2013-2012)
9-12 YRS (2011-2008)
Please make cheques payable to FSTA OR email transfer to admin@frankssoccertraining.com
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Signature
*
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Last updated: 2017