Summer Soccer Program Registration (Monthly Payment Plan)
Oakville United FC
Program
*
Please Select
Development I (Tuesday Only)
Development IA (Tuesdays Only) (May & June)
Development IB (Tuesdays Only) (July & August)
Development I (Fridays Only)
Development IA (Fridays Only) (May & June)
Development IB (Fridays Only) (July & August)
Development I (Sundays Only)
Development IA (Sundays Only) (May & June)
Development IB (Sundays Only) (July & August)
Development II (Tuesdays & Fridays)
Development IIA (Tuesdays & Fridays) (May & June)
Development IIB (Tuesdays & Fridays) (July & August)
Future Stars II (Tuesdays & Fridays)
Future Stars IIA (Tuesdays & Fridays) (May & June)
Future Stars IIB (Tuesdays & Fridays) (July & August)
Future Stars I (Tuesdays Only)
Future Stars 1A (Tuesdays Only) (May & June)
Future Stars 1B (Tuesdays Only) (July & August)
Future Stars I (Fridays Only)
Future Stars IA (Fridays Only) (May & June)
Future Stars IB (Fridays Only) (July & August)
Future Stars I (Sundays Only)
Future Stars IA (Sundays Only) (May & June)
Future Stars IB (Sundays Only) (July & August)
Super Girls (Thursdays Only)
Super Girls A (Thursdays Only) (May & June)
Super Girls B (Thursdays Only) (July & August)
U8 Rep. Team
U9 Rep. Team
Player Information
Name
*
First Name
Middle Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Date
Gender
*
Please Select
M
F
Home Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
School
*
Guardian 1 Information
Name
*
First Name
Last Name
Relationship to student
*
Home Phone
Please enter a valid phone number.
Format: (000) 000-0000.
Cell Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Guardian 2 Information
Name
*
First Name
Last Name
Relationship to Student
Home Phone
Please enter a valid phone number.
Format: (000) 000-0000.
Cell Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Primary Emergency Contact
Name
*
First Name
Last Name
Home Phone
Please enter a valid phone number.
Format: (000) 000-0000.
Cell Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Secondary Emergency Contact
Name
*
First Name
Last Name
Home Phone
Please enter a valid phone number.
Format: (000) 000-0000.
Cell Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
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How did you hear about us?
*
Please Select
Come-back players
Friends Referral
Social Media
Google Search
If you are referred by someone from our club, what is his/her name?
Does the student have any allergies that we need to be aware of? If yes, please specify.
*
Does the student have any other medical conditions that we need to be aware of? If yes, please specify.
*
Ontario Soccer Player Waiver Form
It is mandatory for Ontario soccer players to sign after reading above Ontario Soccer Player Waiver Form
Parent Code of Conduct
Please acknowledge your agreement of Parent Code of Conduct and sign
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Development II (Tuesdays & Fridays)
First payment: $160 6 equal payments after: $59 per month
$160.00 CAD
$
160.00
CAD
for the
first payment
then,
$59.00 CAD
$
59.00
CAD
for each
month
Continue
Continue
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