form test - FC Batavia Youth Soccer Club in Phoenix

Player Information

Player First Name*

Player Last Name*

Gender*

Current Age*

Birth Month*

Birth Day*

Birth Year*

School

Grade

Soccer Experience*

Shirt Size*

How'd you hear about our program?*

Please clarify "other"*

Session Selection

Session Select

I'll Attend all 8 Sessions - $125 ($35 saving)

I'll Select Individual Sessions - $20ea.

Which sessions would you like to attend?

Sat. Feb 8th 8:30-9:30

Sat. Feb 15th 8:30-9:30

Sat. Feb 22nd 8:30-9:30

Sat. Mar 1st 8:30-9:30

Sat. Mar 8th 8:30-9:30

Sat. Mar 15th 8:30-9:30

Sat. Mar 22nd 8:30-9:30

Sat. Mar 29th 8:30-9:30

Primary Contact

The primary contact will receive club communication. Please ensure the email provided is active and correctly entered so that you can receive important club announcements and information.

First Name*

Last Name*

Email Address*

Email * Confirm Email *

Phone*

Address*

Street Address * Address Line 2 City State / Province / Region ZIP / Postal Code

This field is hidden when viewing the form

Would you like to volunteer? Check all that apply.

Head Coach

Assistant Coach

Note: All coaches will be subject to a background check and must complete additional trainings.

This field is hidden when viewing the form

Shirt/Jersey Size*

Secondary Contact (optional)

First Name

Last Name

Email Address

Phone

This field is hidden when viewing the form

Would you like to volunteer? Check all that apply.

Head Coach

Assistant Coach

Note: All coaches will be subject to a background check and must complete additional trainings.

This field is hidden when viewing the form

Shirt/Jersey Size*

Required Consent and Waivers

Please review and consent to the following policies prior to registration.

Head Injury Consent*

I agree to the Head Injury/Concussion Policy*

Hate Speech Consent*

I AGREE to the Hate Speech Policy

Hate Speech Consent*

I AGREE to the Parent Code of Conduct Policy

Hate Speech Consent*

I AGREE to the Player Code of Conduct Policy

View our Social Media Waiver

Hate Speech Consent*

I AGREE to the FC Batavia Social Media Waiver

I DO NOT AGREE to the FC Batavia Social Media Waiver

This field is hidden when viewing the form

(Optional)

Recap & Payment

8 Sessions
Includes Camp Shirt
February 8 - March 29, 2025
Saturday Mornings 8:30 - 9:45
Desert Trails Elementary School (4315 E Cashman Dr., Phoenix 85050)
Boys and Girls Ages 3-13

Registered for sessions listed below
Saturday Mornings 8:30 - 9:45
Desert Trails Elementary School (4315 E Cashman Dr., Phoenix 85050)
Boys and Girls Ages 3-13

Grassroots Skills Development Camp (All 8 Sessions)

Price:

Saturday February 8th @ 8:30 - 9:45am

Price:

Saturday February 15th @ 8:30 - 9:45am

Price:

Saturday February 22nd @ 8:30 - 9:45am

Price:

Saturday March 1st @ 8:30 - 9:45am

Price:

Saturday March 8th @ 8:30 - 9:45am

Price:

Saturday March 15th @ 8:30 - 9:45am

Price:

Saturday March 29th @ 8:30 - 9:45am

Price:

Saturday March 22nd @ 8:30 - 9:45am

Price:

Discount Code

Total Fees Due

Secure Credit Card Payment*

Card Details

Cardholder Name

Test – Grassroots Program Registration

Player Information

Session Selection

Primary Contact

Secondary Contact (optional)

Required Consent and Waivers

Recap & Payment

Our Mission