Sign Up Please fill out this form with the information of the player. Team details are specified below, feel free to contact us for any questions you may have.Call 1876-394-3575 or email [email protected] / [email protected] Email Players Information Full Name Date of Birth Height Weight Nutrition - Indicate Interest for Your Child Herbalife Shake After Each Training $500.00 Natural Juice (Carrot, Cucumber, Beetroot, etc) $100.00 Granola/Protein Bars Fruits (Orange, Banana, Sugar Cane, Coconut Water) Bottled Water - At Brand Cost Contact Information Home Address Emergency Contact Name Emergency Contact Phone Parent/Guardian Name Parent / Guardian Phone Authorized Pickup Persons (2 Names) School Attending Player Profile Preferred Position Goalkeeper Defender Midfielder Forward Additional Position Goalkeeper Defender Midfielder Forward Experience Level NoviceIntermediateUpper IntermediateSkillful and Experienced Previous Team / Association Player Ambition Pass Time / Just Extra Curricular Activity Basic Development (school team competitive) Intermediate Development (High School Prep/Local Base Competitive) Advance Development (Semi-Pro, Pro, College Level Ready Prep, National Teams Base Prep) Development Packages Silver (Academy Schedule Only (Saturdays, Coach Selected Fridays) Gold (Silver + Group of 15 Guest Coach(International - College, Academy, Pro) Sessions Platinum (Silver + Gold + Personalized Group of 3-5 Pro Development Sessions +Private Sessions) Jersey Size XS S M L XL 2XL 3XL 4XL 5XL YXS YS YM YL YXL Y2XL Y3XL Pants Size XS S M L XL 2XL 3XL 4XL 5XL YXS YS YM YL YXL Y2XL Y3XL Schedule Availability Weekdays Afternoon Only Weekends Required Number of Training Days 1 Day 2 Days 3 Days 4 Days Are You willing to Share Cost to Get More International Coaching Sessions? Yes No Recommendations Submit Information