Player Information

Choose Your Services Purchased;

Player Name *

First

Last

Pronoun Used;

Early Drop & Late Pick Required (Please include time if applicable)

Date of Birth

Current Soccer Club (If applicable)

Level of Soccer ie. U10 Community

Medical Conditions (Mental or Physical)

Guardian Name #1 *

First

Last

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Email *

Phone

Emergency Contact & Phone Number

Newsletters Letter & Email Updates

By checking this box you will receive our newsletter keeping you up to date on camps, training, coaching resources, contest and more!

Media Release

Mitch’s Soccer will occasionally take photographs and videos throughout camps and training sessions for promotional purposes in print, on our website, or on our social media accounts. When you check the box, you are confirming that you have the authority to agree to the publication of these materials on behalf of the child you are registering. By checking the box, you release Mitch’s Soccer 2.0 and its employees/representatives from any claims, demands, expenses, causes of action and for liability in any way related to the collection and use of testimonials and images. This agreement is binding for all visits to Mitch’s Soccer 2.0 & training and does not have an expiration date