Warner Soccer: Complete Player Development - ASG


	2/4/2012 Grass Fields Currently: OPEN Turf Fields Currently: OPEN

ASG Professional Player Development Registration
Player's Information
First Name:
Middle Initial:
Last Name:
Date of Birth:
Gender:	Male Female
Address:
Zip:
School:
Grade:
Email:
Please list any medical conditions or allergies that we should be aware of:
Team Information
Team Level:	Fall ($275) - Registration On File Spring ($275) - Registration On File Fall ($275) + New Registration ($135) Spring ($275) + New Registration ($135)
Mother's Information
Name:
Home Phone:
Work Phone:
Father's Information
Name:
Home Phone:
Work Phone:
Credit Card Information Please enter your credit card information below or submit a check for payment.
Name On Card:
Card Type:
Number:
Expiration:	/
Amount:	$

Whether you are paying by check or credit card, how do you intend to may your payment?	Paying In Full Paying In Installments

By checking this box you acknowledge and imply agreement with the following: In consideration of participation of player listed above, a minor in the Warner Soccer program, I as a parent or guardian, have actual knowledge and appreciation of the particulars of the program and hereby voluntarily consent to said minor’s participation and assume the risk arising there from.

Youth Programs | Camp Info | Training Center | Adult Leagues | Staff | Contact

Youth Programs Info

Lil' Kicks

Mini Kickers

Under 7 League

Under 8 League

Under 9 League

Under 10 League

Under 11 League

Under 12 League

Under 14 League

Under 16 League

Under 10 Academy

ASG Division 1

Warner Soccer Academy

Camp Information Info

Local Camps

Striker/Goalkeeper Camps

Community Camps

Training Center Info

Team or Individual

Training Activities

Training Schedules

Training Staff

Confirmation Packet

Adult Leagues Info

Open & Rec. Divisions

Over 30 Division