The Football Club

Program Details

Camp Code:
MAF01X-22-1 
Program Type:
Development Academy 
Price:
$150 
Location:
Marshfield High School, MA 
Site:
Marshfield High School 
Start Date:
January 8, 2017 
End Date:
March 5, 2017 
Time:
8:30 - 9:30am 
Ages:
7 - 10  (Girls Only) 
Schedule:
Futsal Program  

Register For Program

Parent Details

* First Name
* Last Name
Address
 
City
State
     Zip  
* Phone Number
* Email Address
Emergency Contact
Emergency Phone

Player Details

* First Name
* Last Name
* DOB
* Gender
* Allergies
Provide details of allergies or any other medical information

Credit Card Details

Payment Amount
$154   (includes online processing fee of $4)
* Card Type
* Name On Card
* Card Number
* Expiration Date
  (enter as four digits in "mmyy" format)
WAIVER: I certify that my child is in excellent health and is able to participate in physical activity including soccer, sporting activity, club training sessions, competitive soccer games, tournaments and scrimmages. I agree to hold FCUSA Coastal and U.K. Elite Soccer, its agents, employees and contractors harmless from any and all claims for injuries sustained during my child's participation in the program. Permission is granted for my child to receive emergency medical treatment.

CONFIRMATION: You MUST provide a valid email address to receive your program confirmation and all further program information

CREDIT POLICY: A voucher for the full program fee will be issued for any cancellation prior to the camp. No cash refunds.


NB - Clicking the Complete Registration button will charge your credit card.
Please click ONLY ONCE to ensure you are not charged multiple times.
First Data Global Gateway
The Football Club USA utilizes First Data Global Gateway to process all credit card transactions. All transactions use Secure Sockets Layer (SSL) Encryption to protect your information.

Other Payment Methods

Please enter the parent and player details above, ensure the waiver box below-left is checked, and then print this page.

Mail the printout along with a check for payment ($150) to:

FCUSA Coastal,
Attn. Rob Jones,
62 Main Street, Suite 201
Kingston, MA 02364


Please write the player name in the memo area of your check.