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FSTA FUSION 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
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Last Name
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Sex
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F
M
DOB
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+
Parent Information
Relationship to Participant
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Mother
Father
Guardian
Other
Other
First Name
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Last Name
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Address
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City
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Province
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Postal Code
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Phone Number
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Alternate Number
Email Address
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Program Fees & Payment Options
9 - 12 YRS
Full Payment $600 {$480 Non-Refundable} Due By September 13, 2019
Two Installments: $250 {Non-Refundable} Due by September 13, 2019 + $350 {$250 Non-Refundable} Due By October 25, 2019
Three Installments: $250 {Non-Refundable} Due by September 13, 2019 + $250 {Non-Refundable} Due By October 25, 2019 + $100 Due 7 Days Prior to First Futsal Game
13 - 18 YRS
Full Payment $750 {$550 Non-Refundable} Due By September 13, 2019
Two Installments: $275 {Non-Refundable} Due By September 13, 2019 + $475 {$275 Non-Refundable} Due By October 25, 2019
Three Installments: $275 {Non-Refundable} Due By September 13, 2019 + $275 {Non-Refundable} Due By October 25, 2019 + $200 Due 7 Days Prior to First Futsal Game
Players are invited to purchase a Fusion training shirt to wear for sessions.
Training Shirt $20.00
Please see our Policies page on our website for full details on Refunds. https://www.frankssoccertraining.com/policies
Please make cheques payable to FSTA OR email transfer to admin@frankssoccertraining.com
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Last updated: 2017