| i2i Soccer Academy

San Jose - Mon 29th Jan - 6pm - 9pm

To book your place on the i2i College ID Clinic, please fill in the form below.

If you have a problem with payment, please contact us on info@i2isocceracademy.com and a member of our team will happily assist.

(We do find it best to use Google Chrome to make payments).

First Name

Last Name

E-mail Address

Parent/Guardian E-mail Address

Address

City

State

Zip

Date of Birth

Player Cell Number

Parent Cell Number

If i2i player, please specify

Your Instagram URL

Current High School

Graduation Year

Current Soccer Club

Medical History

Please include any operations / injuries / recurring illnesses.

I/my parent(s) or legal guardian(s), have read and agree to the Terms & Conditions

I am over the age of 18 years or, if under 18 years of age, I have the full consent of my parent(s) or legal guardian(s).