Weekly Academy Drop-In Registration | Soccer Field Academy
Complete this form and pay in full to reserve your player’s drop-in session spot.
Player Information
Player Name
*
First Name
Last Name
Player Age
*
Please Select
6
7
8
9
10
11
12
13
14
15
16
17
18
Player Date of Birth
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Parent / Guardian Information
Parent / Guardian Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Emergency Contact Name & Phone
*
Session Selection
Session Day
*
Please Select
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Session Time
*
Please Select
4:30 PM
5:30 PM
6:30 PM
7:30 PM
8:30 PM
4:00 PM (Sunday)
5:00 PM (Sunday)
6:00 PM (Sunday)
7:00 PM (Sunday)
8:00 PM (Sunday)
Is your player currently enrolled in Weekly Academy Training?
*
Yes — currently enrolled in Weekly Academy Training
No — not currently enrolled
Liability Waiver & Release
View the liability waiver
Waiver Agreement
*
I have read and agree to the Liability Waiver, Release, and Assumption of Risk above on behalf of my player.
Refund Policy Acknowledgment
*
I understand the $50 drop-in fee is due in advance and is NON-REFUNDABLE.
Parent / Guardian Electronic Signature
*
Date Signed
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Payment
*
prev
next
( X )
Weekly Academy Drop-In Fee
Fixed payment for weekly academy drop-in registration
$50.00
$
50.00
Debit or Credit Card
Credit Card Number
Security Code
Expiration Month
January
February
March
April
May
June
July
August
September
October
November
December
Expiration Month
Expiration Year
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042
2043
2044
2045
Expiration Year
Pay & Reserve My Spot
Pay & Reserve My Spot
Should be Empty: