1v1 Soccer Customer Registration

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Thank you for registering with 1v1 Soccer. We will contact you within 3 business days of registration form receipt to confirm acceptance in the program you have selected.

First Name
Last Name
Male/Female
Email
Home Phone

Alt. Phone Number
Date of Birth
Program Location
Program Interested in
Address line 1

City
Province
Zip/Postal Code
Parent/Guardian Name
Comments
Kit Size
Lead Source