Online Registration

 

 

 

 

 

*Please note that your registration will not be complete until payment is received and liability release is signed by a parent/guardian.  Please print release, sign and return to: Lock Haven University, Women's Soccer, Coach Heather Davis, 216 Thomas Field House, Lock Haven, PA 17745

Please check appropriate box(es).  You may register for more than one event on same form.

   Soccer Stars Clinic - Sunday, November 16, 2008  

        FEE: $35 per player (includes tshirt, instruction and competition)

         ****online registration must include credit card for payment.  Download and mail the pdf form if you prefer to pay by check.  Click here for the pdf registration form.

       

Name     Age   Date

Email 

 Mailing Address: (street, city, state, zip code)

Phone                 Position

High School    Club Team

High School Graduation Year   

Emergency Contact (include name and phone number):

T-Shirt Size (adult sizes: small - XL)

Colleges of Interest:

Soccer Awards and Accomplishments:

CREDIT CARD PAYMENT INFORMATION:

 Visa     Mastercard     Discover    Amex 

Credit Card # Security Code

Name on Card

Billing Address

Billing City, State, Zip

 

 

 

 

 

 

 

 

 

 

 

 

 

Updated 08/05/2008      Hit CounterAs of 8/27/01 
 
 


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