If you are human, leave this field blank.FUTSAL Registration FormOur Futsal program is for players dedicated to improving their game, fitness, and gaining a competitive edge (by receiving extra game play opportunities inside a fast paced game scenario which involves lots of quick decisions, shooting, dribbling, passing, defending, and hard work). The Invictus Futsal Program will take place at the following location, dates, and times for the selected age groups: Wednesdays @ Believers Chapel Gym (7912 Thompson Rd, Cicero, NY 13039) starting on November 6th. Fee is $95.00 for Indoor Session One which will take place on the following dates: 3/5, 3/12, 3/19, 3/26, 4/2, 4/9, 4/23 & 4/30 (6:00pm: 2015-2017 Boys & Girls, 7:00pm: 2012-2014 Boys & Girls & 8:00pm: 2007-2011 Boys & Girls)Player's First Name: *Player's Last Name: *Player's Birth Year: *200720082010201120122013201420152016Primary Email Address: *Secondary Email Address (Optional):Emergency Cell Phone Number: *Liability Waiver Form: *Click here to read the Assumption of Risk/Release of Liability WaiverBy checking this box, and submitting this form, I agree to the terms present in the above Assumption of Risk/Release of Liability Waiver.Captcha *For security verification, please enter any random two digit number. For example: 88Submit
If you are human, leave this field blank.FUTSAL Registration FormOur Futsal program is for players dedicated to improving their game, fitness, and gaining a competitive edge (by receiving extra game play opportunities inside a fast paced game scenario which involves lots of quick decisions, shooting, dribbling, passing, defending, and hard work). The Invictus Futsal Program will take place at the following location, dates, and times for the selected age groups: Wednesdays @ Believers Chapel Gym (7912 Thompson Rd, Cicero, NY 13039) starting on November 6th. Fee is $95.00 for Indoor Session One which will take place on the following dates: 3/5, 3/12, 3/19, 3/26, 4/2, 4/9, 4/23 & 4/30 (6:00pm: 2015-2017 Boys & Girls, 7:00pm: 2012-2014 Boys & Girls & 8:00pm: 2007-2011 Boys & Girls)Player's First Name: *Player's Last Name: *Player's Birth Year: *200720082010201120122013201420152016Primary Email Address: *Secondary Email Address (Optional):Emergency Cell Phone Number: *Liability Waiver Form: *Click here to read the Assumption of Risk/Release of Liability WaiverBy checking this box, and submitting this form, I agree to the terms present in the above Assumption of Risk/Release of Liability Waiver.Captcha *For security verification, please enter any random two digit number. For example: 88Submit
