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Philadelphia Independence
Women's Professional Soccer
Elite Clubs National League
Click to view ECNL National Championship Game Schedule

   
Register for Indoor Training

You are registering for Thursdays 5.30-6.45PM - Boys & Girls U7, U8, U9, U10, U11, U12

Training Dates:
Dec. 8th, 15th, 22nd
Jan. 5th, 12th, 19th, 26th
Feb. 2nd, 9th, 16th
March 1st
    

* Player First Name
* Player Last Name
* Date of Birth
* Parent/Guardian First Name
* Parent/Guardian Last Name
* Phone
 Cell Phone
* Email
* Address 1
 Address 2
* City
* State
* Zip

I hereby give the above named applicant permission to attend The Paul Riley Soccer School Indoor Mania. I verify to the best of my knowledge that the child is physically able to participate in the activities of the camp. I agree to allow my child to be treated, if necessary by a physician and/or trainer while attending. I understand that if this application is accepted there will be NO REFUND should I cancel. I, the undersigned waive and forever discharge the Paul Riley Soccer School, its staff, officer, agents, representatives, employees and successors from any rights and claims for damages to person, property, activities or while at the camp site.


* I Agree
  * = Required Field