REGISTRATION | Emerald City Futsal

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Dublin

Ohio

Welcome to Emerald City Futsal

Registration

Player First Name

Player Last Name

Parent Name(s)

Email

Phone

Birthday * required

Gender at birth * Required

Male

Female

Age Group *

2018 Birth Year U8

2017 Birth Year U9

2016 Birth Year U10

2015 Birth Year U11

2014 Birth Year U12

2013 Birth Year U13

2012 Birth Year U14

2011 Birth Year U15- HS Program

2010 Birth Year U16 - HS Program

2009 Birth Year U17 - HS Program

2008 Birth Year U18 - HS Program

2007 Birth Year U19 - HS Program

Progam Choice * Required

u8-u14 Program

High School Program

Deposit fee is $325

Select an item ($) *

U8-14 Program - $1295

High School - $895

Gems Development Program - $495

United Futsal Events (Invite Only) - $650

Deposit - $325

Number Preference? Pick 3 ranked in order.

Outdoor Soccer Club

I agree to the terms & conditions

Photo (headshot)

Upload File

Upload supported file (Max 15MB)

Thanks for registering!

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