Application Form To download - Soccer Application Form Questions to be asked on the form Name Age / Birth date: Address City State Zip Parent Names Home Phone Work Phone Email Team Name & Jersey Color Soccer Experience(Years Played): Recreation Travel Team Select your Session: (circle your choice below) < Amount: _________ Credit Card#:__________________________________ Expiration: ______/_______ Signature:______________________________________ Print Name:______________________________________ Please call with any questions to (203) 353-1199, or e-mail your questions to 12sports@optonline.net. Terrell Van Ingen, Owner / Operator, The Academy of Sports