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BRAZILIAN SOCCER CAMP FORM

Parent First name*

Parent Last name

Email*

Phone

Player's First and Last Name

Player's Age

Currently Play

AYSO/Rec

Club

Player's Level

Beginner - AYSO/Rec

Intermediate - Flight 3, Flight 2

Advanced - Pre- ECNL, ECNL, ECRL, GA, MLS Next, Other

After Registration, you will receive an email with further information.

PAYMENT IS DONE VIA: $170 before Nov 9th or $185 After

VENMO: @coachdavalos ZELLE: rodrigo.davalos@gmail.com

CASH (before the start of the camp)

*All Payments need to be sent before the start of the camp.

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Copyright "Coach Davalos Soccer Academy"

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