Valentis Athletica

Soccer Club
Home
About Us
Tournaments
Select Program
Kickers Program
Schedules
Indoor Soccer
Adult Teams
Juggle Club
Camps
Club Gear
Director's Corner
Contact Us
Kickers
Registration
Print form prior to "Submit"

Please mail completed registration form and check made payable to

Valentis Athletica to: 807 Longford Dr, Bowling Green, OH 43402
 
Program
Player's Last name *
Player's First name
Players's Middle name
Date of Birth
Boy
Girl
Previous Team
Street
City
State/Province
ZIP/Postal Code
Primary phone
Alternate phone
Mobile phone
E-mail address
Alternate e-mail address
Parents Name
Referred By
Comments