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Registration

Ages 4-16     Boys and Girls


First Name

Last Name

E-mail address

Street Address

City                                                                             State                          Zip

Parent / Guardian

Home Phone                                                               Work Phone

Height                                                                         Weight

Sex                                                                             Date of Birth                                                Age

Park

APPLICATION FEE: $100.00 (RECEIVE A FREE T-SHIRT, SHORTS, AND BALL.)
PER MONTH: $100.00
CONTRACT: 6 MONTHS
PRACTICE: MONDAYS AND WEDNESDAYS (5:30 PM - 7:30 PM)
MAKE CHECKS PAYABLE TO: U.S. BRAZILIAN SOCCER STYLE

PARENT AGREEMENT: I hereby certify that is in normal health and capable of participating in soccer. I'm aware that the goals and the objectives of the U.S. BRAZILIAN SOCCER STYLE and sports programs are based on Fun, Fair Play and Skills Development. I'm aware that the U.S. BRAZILIAN SOCCER STYLE only carries a secondary health insurance and that my insurance bears primary responsibility. I also understand that U.S. BRAZILIAN SOCCER STYLE retains the right to use, for publicity and advertising purpose, photographs of players taken at the School or any event by the U.S. BRAZILIAN SOCCER STYLE.

Note: No refunds after the first scheduled week of practice.

Enroll online, by phone, fax, or directly at the park

SilverShores Park
15700 Pembroke Road
Miramar, Florida

Toll Free: 1 800 458 8631
Tel: 305 500 9046
Fax: 305 406 2043
Doral Island Club
6450 NW 110 Ave
Miami, Florida

Toll Free: 1 800 458 8631
Tel: 305 500 9046
Fax: 305 406 2043


To register by fax, download and print the registration form, then fill it out and fax it to 305 406 2043.
SilverShores Park - Click here to download the U.S. Brazilian Soccer registration form.
Doral Island Club - Click here to download the U.S. Brazilian Soccer registration form.


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