Home
About us
Management & Coaches
Teams
Pro Players
Youth Players
News
Register
Sponsors
Contact
Cart
0
Home
About us
Management & Coaches
Teams
Pro Players
Youth Players
News
Register
Sponsors
Contact
United Stars Soccer Academy
>
Register
Register
Please enable JavaScript in your browser to complete this form.
Please enable JavaScript in your browser to complete this form.
Name
*
First
Last
Address
*
Address Line 1
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
DATE OF BIRTH
*
Phone
*
Player Email
*
Gender
Male
Female
Position
*
Midfielder
Forward
Defender
Goalkeeper
Center
Guardian's Name
First
Last
EMERGENCY CONTACT
Name
*
First
Last
Phone
*
Comments/Message
Disclaimer & Signature
*
I certify that my answers are true and complete to the best of my knowledge
I understand that false or misleading information on my application may result in my release.
WAIVER LIABILITY RELEASE
*
NO REFUND POLICY
I Agree
*
WAIVER LIABILITY RELEASE AND NO REFUND POLICY
I Here by assume all risks of participation in any or all activities associated with United Stars Soccer Academy and certify i am physically fit to participate in all activity and have not been advised by a medical professional not to participate and acknowledge that this accident waiver and liability form will by used by united stars soccer academy and its partners. i waive and release from any liabillity arising from my death,injury ,release,disability which may here after occur with any activity with united stars soccer academy. i hold harmless and promise not to sue united stars soccer academy in result of participation during,training,games,scrimmages etc, i understand that participation may result to me getting film,photoigraphed for promotion and sponsorship and i agree to allow this. the accident and waiver release is is to the maximumextent permissible under law and i certify that i am above 18 yrs of age in a case where i am below 18 yrs of age i here by give permission to my parents or guardian to accept and sign for me and i certify i have read this document and fully understand this is a relase of liability and i will sign it out of my own free will Payments referred to here in shall not be refundable uner any circumstances and are deemed fully earned upon receipt and are nonrefundable
SELECTED CHOICES
TRYOUTS
U.S.S.A PLAYER REGISTRATION
YOUTH CAMPS
SEASON PRACTICE
OPEN PRACTICE
ZOOM, PSYCH/MENTAL STRENGTH SESSION
ONE ON ONE SESSION
Total
$ 0.00
Stripe Credit Card
*
Card
Name on Card
SUBMIT
Home
About us
Management & Coaches
Teams
Pro Players
Youth Players
News
Register
Sponsors
Contact
←
Contact Us
Contact Form
Facebook
Instagram