| United Sports Club

Number of Players *

One Player - $ 250.00
Two Players - $ 500.00
Three Players - $ 750.00

Player One Information

Player 1: First Name *

Player 1: Last Name *

Player 1: Date of Birth *

Player 1: Gender *

Jersey Size *

Player Two Information

Player 2: First Name *

Player 2: Last Name *

Player 2: Date of Birth *

Player 2: Gender *

Jersey Size *

Player Three Information

Player 3: First Name *

Player 3: Last Name *

Player 3: Date of Birth *

Player 3: Gender *

Jersey Size *

Additional Information

Phone Number *

Alternate Phone Number *

Email Address *

Arena Selection *

Brampton (Ray Lawson Blvd / Cherrytree Dr)
Springdale (Torbram / Sandalwood Pkwy)
Gore / Malton / Rexdale (Cottrelle / Clarkway)
Brampton North (Bovaird / Chingucausy Rd)
Brampton North (Queen Mary Dr / Sandalwood Pkwy)

I would like to become a team sponsor.

Parents and business owners may sponsor specific soccer teams within the club. Checking this box will indicate that you are interested in doing so.

Checkboxes

I would like to become a team coach.

Parents and business owners may apply as a coach for a specific soccer team within the club. Checking this box will indicate that you are interested in doing so.

Total

360.00