Soccer Academy Académie de Soccer

Soccer Academy
Académie de Soccer
2015-2016
U5 to U12 / U5 à U12
(2011-2004)
16 Sessions / 16 Sessions
Saturday Afternoons / Samedi après-midi
(Registration before / avant 15/09/2015)
$195
For more information / pour plus de renseignements
[email protected]
SPACES LIMITED/PLACES LIMITÉES
Indoor Complex – Complexe intérieur
Formulaire d’inscription / Registration Form
Submit to / Soumettre à
CSRDP ([email protected])
Total Fee $195
Player/Joueur:
Sex/Sexe:
 M
Passport No
 F
Size/Grandeur Shirt/Chandail :  Small  Medium  Large
Date of Birth/Date de Naissance (YY/MM/DD):
Category & Team Played (Summer 2015)/Catégorie et Nom D’Équipe (Été 2015):
Address/Adresse:
City/Ville:
Province:
_ Code Postal/Postal Code:
_
Tel & Cell:
Courriel/Email:
Name to be used for tax receipt purposes:
THERE WILL BE AN ADDITIONAL CHARGE OF $25.00 FOR ANY N.S.F CHEQUE
Requests for refunds must be made in person at the CSRDP office. A full refund less administration charge of $25.00 if refund submitted
before September 30th, 2015.