City Cubs FC

Save their place on the field.

One form per child. Share the details below, then complete payment to save their place.

Parent name

Parent email

Parent phone

Add your name so we can reach you.

Add an email so we can reach you.

Add a phone number so we can reach you.

Child name

Child's date of birth

We calculate the right group by your child's age on September 6.

Add your child's name.

Enter a valid date of birth for a child ages 2.5 to 5.

School

Grade / class

Add your child's school.

Add your child's grade or class.

How did you hear about City Cubs FC?

Tell us how you heard about City Cubs FC.

Medical, allergy, or support needs

Tell us about any needs, or write “None.”

Shirt size

Pick a shirt size.

Registration type

First child — $150Additional child — $120

Choose the registration rate that applies.

Emergency contact name

Emergency contact phone

Add an emergency contact name.

Add an emergency contact phone number.

Arrival and pickup

Enter the child's date of birth first.

Tell us whether an adult will stay or your child will be dropped off.

Add an authorized pickup name.

Add that person's relationship to your child.

Participation waiverI understand my child will participate in physical soccer activity. I release Virtual Futbol Academy and its coaches from liability for injury, agree to the $150 first-child rate or $120 additional-child rate for the six Sunday sessions (Sep 6, 13, 27; Oct 4, 11, 18), and understand missed classes are credited $30 toward a future season, not refunded.

Please accept the participation waiver to continue.

Photo and video permission (optional)I give City Cubs FC permission to use respectful photos or short videos of my child in program updates and promotional materials. I may withdraw permission at any time.

Anything else?

Please fix the answers marked above and send again.

Submitting reserves a place. Secure payment comes next.