Cicero United Soccer Academy
Like Us On Facebook
Home
Club Contacts
CUSA Board of Directors
CUSA Coaches & Trainers
CUSA Teams
News & Events for CUSA
CUSA 2011/2012
CUSA 2009 Coed
CUSA 2006 Boys
CUSA 2004 Boys
CUSA 1999 Boys
CUSA 2004 Girls
JUNIORS Program
Juniors Summer Program Overview
Past Events/Photos
Staff
Forms & Payment
Sponsor Page
Registration form for juniors/c-ns camp
Child #1
*
Indicates required field
Player Name
*
First
Last
Male/Female
*
Date of birth MM/DD/YY
*
Grade Fall 2017
*
Select
Prek
K
1
2
3
4
5
6
7
School attending
*
Shirt size
*
Select
YS
YM
YL
AS
AM
AL
Playing experience
*
Select
no experience
6 months
1 year
2 years
3 years
4+ years
Child #2
Player Name
*
First
Last
[object Object]
Grade Fall 2017
*
Select
Prek
K
1
2
3
4
5
6
7
Child #3
Name
*
First
Last
Grade Fall 2017
*
Select
PreK
K
1
2
3
4
5
6
7
Child #4.
First
*
Last
*
Grade Fall 2017
*
Select
PreK
K
1
2
3
4
5
6
7
Male/Female
*
School attending
*
Male/Female
*
School attending
*
Male/Female
*
School attending
*
Date of birth MM/DD/YY
*
Shirt size
*
Select
YS
YM
YL
AS
AM
AL
Playing experience
*
Select
no experience
6 months
1 year
2 years
3 years
4+ years
Date of birth MM/DD/YY
*
Shirt size
*
Select
YS
YM
YL
AS
AM
AL
Playing experience
*
Select
no experience
6months
1 year
2 years
3 years
4+ years
Date of birth MM/DD/YY
*
Shirt Size
*
Select
YS
YM
YL
AS
AM
AL
Playing experience
*
Select
no experience
6 months
1 year
2 years
3 years
4+ years
Parent(s) Name
*
Email
*
Home Phone Number
*
Cell or 2nd Phone Number
*
Comments or questions?
*
Please indicate if there are multiple children you are registering for and their names.
Submit your registration by clicking below, then proceed to payment.
Thank you.
Submit