Registration Form

    Indicate Program desired (please check):
    IndividualTrainingSmallGroupTrainingSummerCampsShootingFinishingClinicFutsalProgram
    Individual Training
    Individual training sessions run 1 hour
    $90/per hour (one session)
    Packages for Individual session (1 hour sessions):
    4 sessions: $340 (payment made by first session)
    6 sessions: $480 (payment made by first session)
    Player Name (s): Player Age (s): Date of Birth:
    Small Group Training
    4 to 6 players each session 75 minutes.
    75 minute sessions
    $55/per player (one session)
    4 session packet: $180 per player (payment must be made in full by 1st session)
    Player Name (s): Player Age (s): Date of Birth:
    Summer/Fall Skills Camp
    Camp 1:
    Who: Players ages 8-14 years old
    When: June 27th through July 1st (M-F)
    9a.m. – 12pm (8:40am early arrival)
    Where: 1837 Bahia St., San Mateo, CA. 94403
    Fee: $220 for the week

    Camp 2:
    Who: Players ages 8-14 years old
    When: July 18-22nd (M-F)
    9a.m. – 12p.m. (8:40am early arrival)
    Where: TBD
    Fee: $220 for the week

    Sibling Special: $190

    Fall Skills Camp:
    Coming Soon!!!
    Who: players ages 7-12
    When: October 3rd – 7th
    9a.m. – 12p.m. (8:40am early arrival)
    Where: TBD
    Fee: $220 for the week

    Player Name (s): Player Age (s): Date of Birth:
    Choose the Camp

    CAMP 1CAMP 2CAMP 3CAMP 4ALL CAMP

    Shooting Finishing Clinic

    Summer 2022 – Shooting & Finishing Clinic: Coming Soon

    What: Shooting & Finishing Clinic – 6 weeks
    Who: players 9-13 years old
    When: August 7th through September 11th (6 week clinic- Sunday)
    Where: TBD
    Fee: $180

    Winter 2023 – Shooting & Finishing Clinic

    Who: player ages 9-13 years old
    When: January 6th through February 10th (6 week clinic- Friday)
    Where: TBD
    Fee: $180

    Player Name (s): Player Age (s): Date of Birth:
    Futsal Program
    Player Name (s): Player Age (s): Date of Birth:
    Sunday [time sunday id:sunday class:sunday time-format:hh:mm_tt]
    Monday [time monday id:monday class:monday time-format:hh:mm_tt]
    Tuesday [time tuesday id:tuesday class:tuesday time-format:hh:mm_tt]
    Wednesday [time wednesday id:wednesday class:wednesday time-format:hh:mm_tt]
    Thursday [time thursday id:thursday class:thursday time-format:hh:mm_tt]
    Friday [time friday id:friday class:friday time-format:hh:mm_tt]
    Saturday [time saturday id:saturday class:saturday time-format:hh:mm_tt]

    Request start Date

    Player Name (s): Player Age (s):
    Player Name (s): Player Age (s):
    Level of Competition

    *Competitive (NorCal/CYSA)*AYSO*New Player

    Jersey Size & Number Request:

    Youth : XSSMLXL
    Adult : SMLXL


    Any conditions Coaches should be aware of?

    NoYes

    Shirt Size: (i.e. YS, YM, YL, S, M, L, XL)

    (for campers only!)

    Parent/Guardian Information:

    (Ok with receiving info regarding program updates/camps):

    YesNo

    Emergency Contact & Numbers: