TOPSoccer Program Registration

Name
Address
City
Zip Code
E-mail
Phone Number
Age
Emergency Contact and Phone #
Disability:
As the parent or legal guardian of the above-named player, I hereby give consent for emergency care prescribed by a duly licensed Doctor of Medicine or Doctor of Dentistry. This care may be given under whatever conditions are necessary to preserve the life, limb or well being of my dependent. By submitting registration, I accept medical liability and will not hold responsible or indemnify Blackbear United FC or any parties associated with the TopSoccer Program.
Select Jersey Size

















TopSoccer Program Features:
  • Each participant is paired with a Blackbear "Buddy"
  • Receive top level coaching and instruction
  • Each participant receives an Adidas Jersey!
  • Get ready to learn and have some FUN!!
This Program is Free!! .
To reserve your spot, click "register" once online form is complete. You will receive confirmation of registration with more details. The TOPSoccer Program will begin on Saturday, November 8th and run for six weeks. All sessions are from 11:30am - 12:30pm at the University College Bangor (UCB) Fitness Center. Thank you and we look forward to working with you!!