Registration form Age U10 - Age U13+

SC DAVA Registration form Age U10 - Age U13+

Player & Parent/Guardian Information

Location?:

How many players are you registering?:

PLAYER INFORMATION

First Name

Last Name

Birthdate

Gender

Male

Female

Unspecified

Current Club

Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

What school will your child be attending for the 2021/2022 school year?

What grade will your child be in for the 2021/2022 school year?

PARENT/GUARDIAN INFORMATION

Parent/Guardian First Name

Parent/Guardian Last Name

Parent/Guardian Cell Phone

Parent/Guardian Home Phone

Parent/Guardian First Name

Parent/Guardian Last Name

Parent/Guardian Cell Phone

Parent/Guardian Home Phone

EMERGENCY CONTACT

In an emergency, when parents cannot be reached, please contact:

Primary Emergency Contact First Name:

Primary Emergency Contact Cell Phone:

Primary Emergency Contact Last Name:

Primary Emergency Contact Relationship to Player:

Secondary Emergency Contact First Name:

Secondary Emergency Contact Cell Phone Number:

Secondary Emergency Contact First Name:

Secondary Emergency Contact Relationship to Player:

MEDICAL HISTORY

If the answer to any of the following questions (below), is yes, please describe the problem and its implications for proper first aid treatment within the registration.

Does the player have any allergies that we need to be aware of?

Does the player have any other medical conditions that we need to be aware of?:*

Describe the problem and its implications for proper first aid treatment within the registration.

DOCS & WAIVERS

Hello Please review and acknowledge the documents and waivers below. Registration Form (For New Members only!)

New members: DOWNLOAD it, and fill out the form, then UPLOAD! , and click Next at least 48 hours prior to the first practice of the player!

Download Registration Form (For New Members only!)

Document Upload

Choose File

SC DAVA Policy & Waiver

Download Club Policy & Waiver

Document Upload

Choose File

I have read and accept all terms, conditions and Waiver of SC DAVA

Participant Fees

New players are required to choose one option from New Player Registration. One Time Registration Fee is Mandatory.

New Player Registration with Soccer Club Dava 2020/2021 Program Fall | Spring | Winter

Single Child | 1 Time Free Training Session | 1x 1.5 Hrs per Training | Total: $0.00

Single Child | 2 Weeks | 3x Week/1.5 Hrs per Training | $78.00 Total: $78.00

Single Child | 1 Month | 3x Week/1.5 Hrs per Training | $155.00 Total: $155.00

Single Child | 3 Month | 3x Week/1.5 Hrs per Training | $155.00 Total: $420.00

Single Child | 6 Month | 3x Week/1.5 Hrs per Training | $155.00 Total: $745.00

Annual Registration | 8 Month | 3x Week/1.5 Hrs per Training | $155.00 Total: $870.00

Review

YOUR REGISTRATION IS ALMOST COMPLETE...

Please review the information below. Click "Edit" to return to a specific page and make changes. This Registration is not complete until you successfully submit payment on the following pages.

Delete Entry

PLAYER & PARENT/GUARDIAN INFORMATION Edit

	-	Date of Birth
Gender	-	Address
Parent/Guardian First/Last Name:	-	Parent/Guardian Cell Phone:
Parent/Guardian Home Phone	-	Email

Checkout

Please review your registration fees and select a payment method.

Total Fees

Pay with Card (Stripe)