Let's Fill Your Guardians Info

Guardians First Name *

Guardians Last Name *

Guardians Relation To Player *

Email *

Guardians Phone Number *

Address

Street Address *

City

State

Country

Postal code

Let's Fill Your Player Info

First Name *

Last Name *

Gender *

Participant Birth Year *

Participant Soccer Experience *

How did you hear about EA League & BTX SC? *

Let's Pick Your Uniform Size

Participant Uniform Size *

Medical Info

Please fill out the following health related questions if needed.

Please indicate with a NO if you have none.

Do you have Life Threatening Allergies? *

Do you have an On-Going Medical Treatment? *

Do you have a Medical Condition? *

Need To Add Another Player?

Add 1 More

Participant Info

Participant 2 Name *

Participant 2 Last Name *

Participant 2 Gender *

Participant 2 Birth Year *

Participant 2 Soccer Experience *

Participant 2 Uniform Size *

Please fill out the following health related questions if needed.

Please indicate with a NO if you have none.

Do you have a Medical Condition? (P2) *

Do you have an On-Going Medical Treatment? (P2) *

Do you have Life Threatening Allergies? (P2) *

Guardian Signature

Clear

I agree to terms & conditions provided by BTXSC and the player waiver form. By providing my phone number, I agree to receive text messages from the business.

Registration Complete!

If after a few minutes you haven't received, please check on your SPAM folder and mark this address as NOT SPAM since we will update you with games notifications and communication through this address.