Youth League Registration Team Name * Coaches Name * Check One * 4v4 6v6 Youth League * Session 1 Session 2 Gender * Boys Girls Age * Micro Division: U5 to U7 Under 8 Under 9 Under 10 Under 11 Under 12 Under 13 Under 14 High School Team Contact Name * Club Name * Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Phone * (###) ### #### Email * Secondary Contact Name * Secondary Contact Phone * (###) ### #### League Fees to be paid by * Cash/Check Credit Card Deposits may be paid with credit card, cash or a check. A $33 processing fee will be charged to those of you who choose to pay the full $825 on your credit card. Credit Card Type * American Express Mastgercard Visa Other Card # * Expiration Date * MM DD YYYY CVC * Zip Code * Name on Card * Message to Golden Goal (optional) Thank you!
