Futsal Academy Registration Form

Player Name*
First Last
Parent/Contact Name*
First Last
Email*
Phone*
Birthdate*
Gender*
- Male
- Female
Futsal/Soccer Experience*
- Recreational
- Competitive
- Advanced
Have you ever participated in a previous Center Circle event?
- Elite Futsal School/Camp
- Winter Futsal League
- Futsal Open Cup
- 5 v 5 Summer League
If so, how many seasons?
Jersey Number (3 preferred choices)
Cost
Price:
Payment not due until after tryouts but here is how to Pay: Venmo: @Evan-Hacker; PayPal: @CenterCircleAssist; Check: Center Circle