pay by check registration form

Avila  Training Academy

 

Player's Name *
Player's Name
*
Parent/Guardian Name *
Parent/Guardian Name
Address 1 *
Address 1
Parent/Guardian Home Phone Number *
Parent/Guardian Home Phone Number
Parent/Guardian Cell Phone Number *
Parent/Guardian Cell Phone Number
Emergency Contact Number *
Emergency Contact Number
I hereby authorize Avila Training Academy to photograph or video my child(ren) without further notice or compensation, provided that they will be used solely for promotional purposes.
Yes, I agree *
How did you hear about Meraki F.C. *

SEND PAYMENT TO:
Meraki FC
P.O. Box 361 
Morristown, NJ, 07963-0361