Participant Information

Registered interest for Year Long SPU Training

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Participant Information
Review
Confirmation

Thank you for registering your interest in INTER CT's year long sessions with SPU

It is our aim to provide interested players with options for 2 practices a week from September onwards alongside other Inter CT players from the same team or age group(s)

Participant's Information

First Name:*

Middle Name:

Last Name:*

Date of Birth:*

Gender:*

Male

Female

Clear Current Selection

Parent/Guardian Information

Parent/Guardian First Name:*

Parent/Guardian Last Name:*

Parent/Guardian Cell Phone:*

Parent/Guardian Home Phone:

Parent/Guardian Email:*

If you have any particular goals you want to achieve from the program, please let us know below.:

Player's current club:

Any other information we should know about:

Registration Sport:

Sport associated with this registration (do not modify)

Registration Type:

Type of registration (do not modify)

Registrant Type:

Type of registrant (do not modify)

Inter Connecticut FC

Registered interest for Year Long SPU Training