Miami Fenix FC

Please complete the form below to register your child. This information is required to begin training and authorize monthly payments.

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Player Full Name *

Date of Birth (MM/DD/YYYY) *

Any medical conditions? *

• Yes
• No

If yes, describe the condition

Uniform Size *— Select Choice —YXSYSYMYL

Parent Full Name *

Primary Phone Number *

Secondary Phone Number

Any Uniform Phone

Parent Email *

Email

Confirm Email

Street Address *

City, State, Zip-code *

Consent and Authorization Agreement *

• I have read and agree to the Miami Fenix Football Club Terms and Conditions, Authorization, and Privacy Policy. View Terms
• I authorize Miami Fenix Football Club to charge my selected payment method on the second of each month.

Secure Card Payment *

Submit