Camp Registration

Email: rscharlotte2024@gmail.com
phone: ‪(704) 665-7780‬

"*" indicates required fields

Step 1: Player Information

Player's First Name*

Player's Last Name*

Player's Age*

Cell Number*

Email*

Uniform Size*

Soccer Team Player currently belongs to*

Position they play as a 2nd choice*

Position they play as a 1st choice*

Step 4: Responsible Party Signature

Date

Step 5: Emergency Contact

I understand that whoever completes the registration form for this child will be held responsible for all payments made regarding the ATS. Also, no party, other than those listed in the proceeding pages as “Responsible Party” will be permitted to alter any information on this registration packet including, among other things, the authorization of any party signing out this child. Any changes need to be made in writing and submitted directly to the academy office personnel by the “Responsible Party.”

Parent or Guardian*

Employer*

Work Number*

Home Number*

Step 6: Photo/ Video Release

*cancellation if severe weather. We will give back 50%.

Product Name

Price:

Total

Credit Card

This field is for validation purposes and should be left unchanged.

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