Online Team Registration Form

   Team Name:  

    Sport:        Select Soccer Lacrosse Flag Football    Session:  

     Age Group:                 Gender:         Select Boy Girl

   Team Contact Name:  

   Address:  

   City:      State:         Zip:    

   Home Phone: ()                           Cell Phone: ()

   E-Mail Address:  

  How did you hear about The Sports Academy?         Select Building Sign Friend Returning Player Travel League Web Yellow Pages Other:

     If you selected Friend, Travel League or Other, please list specific name here:
                              

   Method of Payment?         Select Mail Check Online Pay via PayPal

   I hereby give permission and certify that team members are  in good health and able to
  participate in all The Sports Academy activities.  By selecting the SUBMIT button, I release
  coaches, staff, and all others associated with The Sports Academy activities of all Liability
  for any injury or illness incurred by team members at The Sports Academy activities.

    Date:         Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec         1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31         2008