Admission Form – Divinity Soccer Academy 2025 Divinity Soccer Academy LLC ->DIVINITY SOCCER ACADEMY Welcome to the Divinity Soccer Academy (DSA) REGISTRATION page. DSA was founded in the Maryland, USA with the mission and vision to recruit and develop the talent of children and youths. Please use this form to register your children and make payment. Registration - $200 per childMonthly payment _ $120 per child (If paying annually, just pay for 10 months and get 2 months free) I HAVE READ, UNDERSTOOD AND ACCEPT ALL Terms and ConditionsAcceptPayment Link!Click Here to Pay Before Submit Form->TRAINEE INFORMATION All the information entered in this section should be that of your child 9 QuestionsPrefixMr.Mrs.Ms.Mx.MissDr.Prof.First Name *Middle NameLast NameDate of Birth *Gender *BoyGirlReligionChristianityIslamOtherOtherCountry of OriginGhanaGuineaSierra LeoneCameroonKenyaOtherOtherChild's Height *Child's Weight *Street Address *Apartment, suite, etc *City *State/Province *ZIP / Postal Code *Child's Phone Number (If any) *->Child's Education Background 4 QuestionsName of current school *Current GradeGrade 1Grade 2Grade 3Grade 4Grade 5Grade 6Grade 7Grade 8Grade 9Grade 10Grade 11Grade 12OtherOtherIs there any academic issue you would like us to know about? *YesNoWhat are the issues? *->Field/Soccer Related Information 3 QuestionsReason for joining the DSA *Soccer Career DevelopmentLeisure and FitnessBehavior Change ManagementOtherOtherPreferred Soccer Position *ForwardMidfielderDefenderGoalkeeperOtherOtherJersey Size *3XS2XSXSSMLXLOtherOther->Child's Medical History 8 QuestionsVaccination – is the trainee immunization up-to-date? *YesNoPlease provide reason for the vaccination issueIllnesses – has the trainee had the following illnesses *Chicken PoxWhooping CoughScarlet FeverMeaslesMumpsAsthmaPharyngitisEar infectionsOtherPlease select all that applyOther20 Physical Test/Examination – Has the trainee done a physical medical examination? *YesNoPlease contact the TEAM MANAGERRecommendations – is the trainee under medical treatment? *YesNoDietary Limitations – Does the trainee have dietary limitations? *YesNoWhich ones? *VegetarianNo porkNo SugarNo SaltOtherOther->CORRESPONDENCE This is section requires the information of an adult registering the trainee or child 6 QuestionsPrefixMr.Mrs.Ms.Mx.MissDr.Prof.First Name *Middle Name *Last Name *Street Address *Apartment, suite, etc *City *State/Province *ZIP / Postal Code *Phone Number *0 / 10Email Address *Relationship to the trainee *FatherMotherSisterBrotherUncleAuntLegal GuardianOtherOtherIs the responsible adult the same as the emergency contact? *YesNoOther->Please Schedule an Appoint to see the Team Manager if your child is not already in the teamDateTimeHoursMinutesAMPMUpload Payment Receipt *Choose FileNo file chosenDelete uploaded fileSend Message
