Registration
 Spring/Summer 2008
Note: To print this form, click here and the select the print button from your browser.
Name:
Address:
City: State: Zip:
Home Phone: Emergency phone :
Date of Birth: Grade:
T-Shirt Size: Email:(print clearly)
Please check the session you wish to attend:
SPRING and SUMMER 2008 SESSIONS
Spring Break Clinics
Belmont - Winnbrook School Apr 22 - 25 Tue-Fri

Ages 5 - 17  9am - 1pm         $154       
Ages 8 - 17  9am - 3pm         $215       


Summer Academy& Clinics
1/2 day clinic runs from 9:00 -12:00 full day clinic runs from 9:00 - 3:00 (unless otherwise noted)
Belmont Advanced Training Academy-by invite only June 16-July 16 Mon & Wed 10 sessions 5:30-7pm $125
Weston- Weston High School June 23-26 Mon-Thu 1/2 day $125, full day $215
Grafton -Wyman-Gordon Field Jul. 28 - 31   Mon-Thu 1/2 day $125, full day $215
Mendon/Upton - Memorial Elementary School in Upton Aug. 4 - Aug. 7 Mon-Thu 1/2 day $125, full day $215
Hopedale/Milford- The Portuguese Club in Milford
 Aug. 11 - 14 Mon-Thu 1/2 day $125, full day $215
Belmont - Belmont Middle School
 Aug. 18 - 21 Mon-Thu 1/2 day $125, full day $215

Lexington- High School Advanced Training -
High School aged players only

 Aug. 16 - 19 Sat - Tue call for info


You will also need to attach a Medical Release Form as well..


No application will be accepted without the Medical Record Form.
Your cancelled check will serve as confirmation.

You will receive an email reminder letter so please include a working email address.


*Please send your checks to Soccer 101 Academy, Inc.

PO Box 380564

Cambridge, MA 02238


*Please make all checks payable to Soccer 101

Call 857.277.1396-Visit our website www.soccer101academy.com-Email us at soccer101academy@aol.com