Please complete each section and click the "submit registration" button at the bottom of the form.

1. PLAYER INFORMATION:

 
*ASDP CAMP Spring 2008:
*First Name:
*Last Name:
*Gender:
*Birth Date (mm/dd/yyyy): / /
*Street Address:
*City:
*State:
*Zip Code:
*Payment Method:
Current Soccer Team Name or Club (if any):
*Home Phone: --
*T-shirt Size:

 

2. PARENT/GUARDIAN INFORMATION:

Parent/Guardian #1

 
*First Name:
*Last Name:
Home Phone: --
Work Phone: --   ext.
*Relationship:

Parent/Guardian #2
First Name:
Last Name:
Home Phone: --
Work Phone: --   ext.
Relationship:

 

3. CONTACT INFORMATION:

An e-mail address is required and very important for club announcements, game cancellations, etc.

 
*E-mail:
*E-mail (Verify by retyping):
I do not have an E-mail:

 

4. EMERGENCY INFORMATION:

 
*Emergency Contact:
*Emergency Phone Number: --

 

 

Please review all information entered for accuracy and completeness, then click on the appropriate button below to continue the registration process.

 

Please contact me as soon as possible regarding this matter.

Pete Cinalli, Director of Coaching
FASA Hotspurs.  All rights reserved.
Revised: January 07, 2008 .