South East United FC 2024 Spring Program 24 September – 28 November Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Player's name *FirstLastPlayer's date of birth *MM/DD/YYYYParent's Contact Details *FirstLastPhone Number * Does your child have ambulance cover? *Please selectYesNo Does your child have any medical conditions/allergies? What class is the player in? *Freshman, Sophomore, Junior, Senior, GraduateSports previously playedSoccerFootyVolleyballBasketballDodgeballSoftballFrisbee GolfCricketRugbyN/A - New PlayerRegistering for...Youth Age 12+ (Tue & Thu) - $250.00Youth Age -11 (Thu only) - $125.00I also want to register for:1 on 1 Sessions $30.00/hourExtra 1-on-1 sessions available for $30.00 per hour every Sat between 9:00 am - 01:00 pm. want previously charge: Permission & Agreement *I agree and give my permissionI give the player stated here permission to play in this intramural league pursuant to all the terms and regulations that apply.I agree to the following charge: *Registration Fee - $10.00Total$0.00Stripe Credit Card *Credit Card field is disabled, Stripe keys are missing.Submit
