Elevate Team Training Athlete Registration

Wayne Panthers SC

Athlete Name *

Athlete Grade Level *

Date of birth

Soccer Position/s

Athlete T Shirt Size *

Parent 1 - First and Last Name *

Parent 1 Email *

Parent 1 Phone *

Does Parent 1 Coach Any Sports?

If Yes, what Sports? What's Team Name?

Parent 2 - First and Last Name *

Parent 2 Phone *

Parent 2 Email *

Does Parent 2 Coach Any Sports?

If Yes - What Sports? What's Team name?

Address *

City *

State *

Postal code *

Monday or Tuesday