Academy Program Registration Form
Please complete form below and click the "Submit" button
Child's full name (*)
Please type your full name.
Gender (*)
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Child's birthdate (*)
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Parents (*)
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E-mail (*)
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Phone 555-555-5555 (*)
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Is soccer your child's primary sport? (*)
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If new to Dragons, how did you hear about us?

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Code (*) Code
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To confirm that you are not a robot
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