GSA Ottawa - Galaxy Soccer Academy

Player Information

First Name *

Last Name *

Date of Birth *

Gender *

Player Email (Optional, 13+)

Player Phone (Optional, 16+)

Choose the program that best fits the player's age and skill level

Ages 5–8

U5–U8

Ages 9–12

U9–U12

Ages 13–15

U13–U15

Parent First Name *

Parent Last Name *

Parent Email *

Parent Phone *

Full Address *

Preferred Tryout Date *

Alternative Tryout Date (Optional)

Goals & Why Join GSA Ottawa (Optional)

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