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Step
1
of 3
Parent’s Details
Parents
*
First
Last
Email
*
Player Card Player
Phone
*
Address
*
Address Line 1
City
State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
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Ohio
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Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
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State
Zip Code
Checkboxes
*
I’ve read and accept White Eagle Soccer Academy
privacy policy
and White Eagle Soccer Academy
terms & conditions
I’ve read and agree to the
Refound Policy
,
Parental Certification
,
Medical Consent
and
Liability Release Terms
Next
How many players do you want to add to the Camps
*
Select
1
2
3
Player’s 1 Details
Full NamePlayer 1
*
First
Last
Date of Birth Player 1
*
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1923
1922
1921
1920
Gender Player 1
*
Select
Male
Female
Position Player 1
Select the answer
Goalkeeper
Defender
Midfielder
Forward
Club Player 1
Choose Package for Player 1
*
Basic Pack –
$299.00
Premium Pack –
$399.00
Allergies Player 1
*
Player’s 2 Details
Full NamePlayer 2
*
First
Last
Date of Birth Player 2
*
MM
1
2
3
4
5
6
7
8
9
10
11
12
DD
1
2
3
4
5
6
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30
31
YYYY
2027
2026
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
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1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Gender Player 2
*
Select
Male
Female
Position Player 2
Select the answer
Goalkeeper
Defender
Midfielder
Forward
Club Player 2
Choose Package for Player 2
*
Basic Pack –
$299.00
Premium Pack –
$399.00
Allergies Player 2
*
Player’s 3 Details
Full NamePlayer 3
*
First
Last
Date of Birth Player 3
*
MM
1
2
3
4
5
6
7
8
9
10
11
12
DD
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
YYYY
2027
2026
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Gender Player 3
*
Select
Male
Female
Position Player 3
Select the answer
Goalkeeper
Defender
Midfielder
Forward
Club Player 3
Choose Package for Player 3
*
Basic Pack –
$299.00
Premium Pack –
$399.00
Allergies Player 3
*
Previous
Next
Credit Card
*
Total
Order Summary
Item
Quantity
Qty
Total
There are no products selected.
Choose Package for Player 1 – Basic Pack
1
$299.00
Choose Package for Player 1 – Premium Pack
1
$399.00
Choose Package for Player 2 – Basic Pack
1
$299.00
Choose Package for Player 2 – Premium Pack
1
$399.00
Choose Package for Player 3 – Basic Pack
1
$299.00
Choose Package for Player 3 – Premium Pack
1
$399.00
Subtotal
Total
$0.00
$0.00
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