Field Status: 5/10/2012 10:37 Viejo Main • Open Viejo Small • Open Las Flores • Closed Bergeson • Closed Cordillera • Open
Saddleback United Academy
In January we will be holding one day per week, age-specific sessions. The sessions will start the week of January 9th and continue for four weeks, through the week of January 30th.
Our regular mixed age group Academy will restart in Febrary on Fridays at 4:30 at Viejo. The February session will run from February 10th through March 9th.
The fee for the January session is $50 and the February session is $75. You will receive an invoice shortly after completing the registration form. Space in the Academy is limited and will be filled on a first come, first served basis.
If you have any questions, contact Academy Director Colette Swensen at cswensen25@gmail.com.
   
Player Name: *

First
Last
Birthdate: *

MM 		/
DD 		/
YYYY
Gender: *
 Girl 
 Boy 
Choose Session: *
 U7/8: Friday 4pm @ Viejo 
 U9: Tuesday 4:30pm @ Las Flores 
 U10: Thursday 4:30 @ Las Flores 
 U11: Friday 5pm @ Viejo 
 Feb Session: Friday 4pm @ Viejo 
Years of Playing Experience: *
How Did You Hear About the Academy Program? *
Parent Name(s): *
Email: *
Confirm *
Home Phone: *

### 		-
### 		-
####
Cell Phone: *

### 		-
### 		-
####
Please Note: This is important in case of an emergency.

Medical Release Approval:

In the case of an emergency and if I cannot he reached I hereby authorize the staff of Saddleback United Soccer Club to obtain whatever medical treatment they deem necessary for the welfare of my child listed on this application. I further understand and agree that I will be financially responsible for all charges and fees incurred in the rendering of said emergency treatment, regardless of whether or not my medical insurance would cover such charges and fees.
By checking this box, I agree to the Medical Release Statement above. *
 Yes, I agree to the Medical Release Statement.  
Parent Online Signature: *

First
Last
(By typing in my name in the field above, I understand it is equivalent to signing a printed form.)

Powered byEMF Forms Builder
Report Abuse
 
• Saddleback
  Summer Classic

Partners: