Name: Victoria Kickers Practice
Start: 2023-03-30T18:30:00-06:00
End: 2023-03-30T20:30:00-06:00
Location: Victoria Soccer Park

MANAGER REGISTRATION

Team Name:
Jersey Color:
Managers Name*
First Last
Email*
Phone*
Address*
Street Address Address Line 2 City State ZIP Code
Payments*
- $200.00 Deposit Non-Refundable after July 15, 2023
- $650.00 Full Payment
- $450.00 Balance Due
Total
$0.00

Credit Card*

Cardholder Name

Card Details