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Online Registration Form - Fall 2012, Winter 2012-13
Outdoor Soccer Training and FUTSAL Indoor Soccer Training
Futsal is a form of indoor soccer that requires quickness, vision and excellent ball skills. More on Futsal Training
Striker, Speed and Agility Training:  Program details here.
 For enrollment please fill out the information in the form below and press the REGISTRATION button.
Go to registration form
To pay by CHECK make it payable to: Soccer The Brazilian Way (STBW),
8905 Clewiston Place, Montgomery Village, MD 20886
We also accept the following credit cards:
CC Images
 You will be given the option of paying with a credit card after registering
 
   
Clinic Fee per Player :
Individual
Teams
 Teams have preference over age groups.
Indoor sessions (1-1/2 hours):
$195
$175
 You can select any session for a team.
Extended sessions (2 hours):
$215
$195
 A minimum of 14 players is required for a team discount
Outdoor Fall Sessions:
$165
   Don't forget to enter the team name when registering
Outdoor Winter Sessions:
$250
    
 
Cancellation / Refund Policy:
All cancellations must be received in writting 15 days prior to your first session date to qualify for a refund, less $25 administrative fee.
First Name:      * Last Name:   * (* = Required)
Address (Street):  *
City:   * State:  Zip :   *
Home Phone:xxx-xxx-xxxx:  - - * Email :   *
Cell Phones:xxx-xxx-xxxx:   -  -  - - - - - - - - -  -  IMPORTANT!
Date of Birth (mm/dd/yyyy):  * Age:  *   Gender:  *  
Team (optional) :   Discount Coupon:  
I accept full responsibility for the use of the facilities at my own risk, and shall hold Soccer the Brazilian Way, its employees, as well as the Facility's owners and operators and its employees and staff harmless from any and all loss, claim, injury, damage or liability sustained or incurred by the minor resulting therefrom. In the event of an emergency, parents (or depending of the circumstances Emergency-911) will be notified first.
I understand the importance of providing phone numbers where either one of the parents or guardian can be easily located during camp or training hours.
I agree that Soccer the Brazilian Way staff will not held responsible for any accident or losses, however caused, and agree to release all parties involved from claim of damages that may arise as a result or by reason of such loss or accident. I understand that every reasonable precaution will be taken to ensure the safety of the above named participant.

Allergies-Medications: 

 Please email us any special needs or precautions the minor may require.

Acceptance of conditions: By writing my full name and date above I represent to be the parent or guardian of the minor.

Parent or Guardian Name:    * Date:   *
 
Select Location, Dates and Time:klkl
Outdoor sessions: Word of Grace Fields
Indoor sessions: Lifetime-Centreville uiuiuiu  Lifetime-Loudoun
Fee for the Fall Sessions: $165.00 - Fee for the Winter Sessions: $250
Weekday and Time
High School
Pre-season training
Striker training

Footskills training

Goalkeeper training

Fall: Tuesdays/Thursdays
December 4, 6, 11, 13, 20, 22
Hours: 7:00 to 8:30 pm
 
Age: 13-16
Age: 10-14
Age: 13-16
Winter - 1/8 - 3/12
Tuesday 7:00 to 8:30 pm
Age: 13-17
Age: 13-16
Age: 10-14
Age: 13-16
Winter - 1/10 - 3/14
Thursday 7:00 to 8:30 pm
Age: 13-17
Age: 13-16
Age: 10-14
Age: 13-16
 

  
Weekday and Time
Age
Fall 2012
Winter 2012-13

FC-Elite
Black-Silver

Session

Monday 4:30-6:00 pm
U12-G
11/12-1/7
FC-Elite Black-Silver
1/14-2/25
FC-Elite Black-Silver
FC-Elite 

Registering all four sessions

Wednesday 4:30-6:00 pm
10-12
11/14-1/9 - U11B
SOLD OUT
1/16-2/27
FC-Elite Black-Silver
 
 
Thursday 5:00-6:30 pm
U10-B
11/15-1/10 - U11G
SOLD OUT
1/17-2/28
Coach Agustin
 
 
Friday 4:30-6:00 pm
10-12
11/16-1/11 - U13G
SOLD OUT
1/18-3/01
 
 
Sunday 8:00-9:30 am
U12-G
11/18-1/13
FC-Elite Black
1/20-3/03
 

Striker, speed

Sunday 9:30-11:00 am
U12-G
11/18-1/13
FC-Elite Silver
1/20-3/03
 
 
Sunday 6:00-7:30 pm
U12-B
11/18-1/13
SOLD OUT-Quicksilver
1/20-3/03
SOLD OUT-Whitefield
 
 
Sunday 7:30-9:00 pm
U15-G
11/18-1/13
SOLD OUT
Freedom U15
1/20-3/03
SOLD OUT
Freedom U15
 
 
 
Weekday and Time
Age
Fall 2012
Winter 2012-13

 

Session

Tuesday 5:00-6:30 pm
8-9-G
11/13-1/8
1/15-2/26
Galaxy Gold
 
 
Wednesday 8:00-9:30 pm
13-15
11/14-1/9 - U16B
SOLD OUT
1/16-2/27
 
 
Friday 6:00-7:30 pm
11-12
11/16-1/11
1/18-3/01
SOLD OUT-Reston
 
 
Friday 7:30-9:00 pm
15-16
11/16-1/11
SOLD OUT-Reston FC
1/18-3/01
SOLD OUT-Reston
 
 
Sunday 8:00-9:30 am
9-11
 
1/20-3/03
 

- Striker, Speed, Agility

Sunday 9:30-11:00 am
10-12
 
1/20-3/03
 
 
Sunday 6:30-8:30 pm
13-15
 
1/20-3/03
 
 
 

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