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Registration
Ages 4-16 Boys and Girls
First Name
Last Name
E-mail address
Street Address
City State Zip
Parent / Guardian
Home Phone Work Phone
Height Weight
Sex Date of Birth Age
Park
Silver Shores Park, Miramar, FL
Doral Island Club, Miami, FL
APPLICATION FEE: $100.00 (RECEIVE A FREE T-SHIRT, SHORTS, AND BALL.)
PER MONTH: $100.00
CONTRACT: 6 MONTHS
PRACTICE: MONDAYS AND WEDNESDAYS (5:30 PM - 7:30 PM)
MAKE CHECKS PAYABLE TO: U.S. BRAZILIAN SOCCER STYLE
PARENT AGREEMENT: I hereby certify that
is in normal health and capable of participating in soccer. I'm aware that the goals and the objectives of the U.S. BRAZILIAN SOCCER STYLE and sports programs are based on Fun, Fair Play and Skills Development. I'm aware that the U.S. BRAZILIAN SOCCER STYLE only carries a secondary health insurance and that my insurance bears primary responsibility. I also understand that U.S. BRAZILIAN SOCCER STYLE retains the right to use, for publicity and advertising purpose, photographs of players taken at the School or any event by the U.S. BRAZILIAN SOCCER STYLE.
Note: No refunds after the first scheduled week of practice.
Enroll online, by phone, fax, or directly at the park
SilverShores Park
15700 Pembroke Road
Miramar, Florida
Toll Free:
1 800 458 8631
Tel:
305 500 9046
Fax:
305 406 2043
Doral Island Club
6450 NW 110 Ave
Miami, Florida
Toll Free:
1 800 458 8631
Tel:
305 500 9046
Fax:
305 406 2043
To register by fax, download and print the registration form, then fill it out and fax it to 305 406 2043.
SilverShores Park - Click here to download the U.S. Brazilian Soccer registration form
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Doral Island Club - Click here to download the U.S. Brazilian Soccer registration form
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