GALLA DEV'S   SOCCER
Inspire, Educate, Develop

 

 

 

GallaDev's Soccer Academy Registration Form

- PAYMENT CAN BE MADE BY ETRANSFER TO jamie@galladevs.ca, by cash, or by cheque made payable to GallaDevs Soccer.

 

- Friend requests are welcomed and honoured!

 

- Include shirt size in the Comments section: YXS, YS, YM, YL, YXL, Adult S, Adult M

 



Parent Name (if applicable):
Player Name:
DOB:
Address:
City:
Postal Code:
Phone Number:
E-mail Address:
Medical Conditions (if any):
Emergency Contact:
Emergency Phone Number:
Comments:

Please check off the session of your choice:








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