Bridge Registration – Midas Touch Soccer School

First Player First & Last name *

First Player's age *

First Player school grade *

Second Player First & Last name

Second Player's age

Second Player school grade

Third Player First & Last name

Third Player's age

Third Player school grade

Parent/Guardian Full name *

Parent/Guardian Payment notification Email *

Parent/Guardian Phone number *

IMPORTANT: If you are registering more than one player, you must select the correct quantity option before making your payment. 1 player = QTY 1 , 2 players= QTY 2 , 3 Players = QTY 3 ,

Item

Price

Qty

Subtotal

Bridge Program Registration

Qty

$150.00 Subtotal: $150.00

$150.00

Subtotal

$0.00

Fee

$0.00

Discount

$0.00

Total

$0.00

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