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Registration

Thank you for choosing to register for a camp or training session with Eagles Soccer Academy. Please fill out the application as well as the parental consent form and mail it to 310 New Point Lane, Canton, GA 30114 or fill out the online application below. You will still need to mail or fax in the parental consent form when filling out the online application. You will need adobe acrobat to download forms. If you have any questions or issues, please email Dan or call at 404-909-1981.

To make a payment via paypal

Please Select Desired Session

Parental Consent Form
Downloadable Application (Page 1 & Page 2) for Mail or Fax

or

Fill out the form below to register

 

First Name:
 *
Last Name:
 *
Age:
Date of Birth:
Address:
 *
 
City:
 *
State:
 *
Zip:
 *
Home Phone: Cell Phone:
Work Phone: Other:
Parent's Name:
E-mail: *
School Team:
Club Team:
Select One:

Select Desired Sessions:

ctrl + click to select multiple camps
Free Adidas T-Shirt Size:
Are you attending as a team?
If Yes, please list your team name:
   
* Required Fields