Child's Name:
Birthday:
Address:
State/Zip:
City:
Age:
Grade
$15.00 Per Hour/ Two
Hours Minimum
Impact Youth Soccer
then fill out complete Information below...then press 'Submit' button to complete registration!
1) PLEASE Click on Price
   to PAY/ Register...
Parent's Name:
Email Add:
Cell#: 
Weekly Payment For Soccer Training
Please Note: If payment is not made...
$30.00
$30.00
Sign-Up TODAY!
you are NOT registered!
Includes...Full Uniforms and Insurance!
Pay On Site:
$30 Total
Soccer meet each week from 12 noon to 3pm !