Brazilian Soccer Club Registration 2023!
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Player's First and Last Name *
Player's Age *
Gender *
Birthday *
MM
/
DD
/
YYYY
School Name *
How did you hear about our soccer program? *
Soccer Program *
Club Fee
*
Required
Uniform Fee *
New Players, please purchase the practice uniform and game uniform for your child. There are other optional items if needed.
Required
PAYMENT OPTIONS
*
Please make a full payment within two days to guarantee your child's spot in our Club program. 
Medical Conditions *
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