Register for Gioca Futsal Tryouts below.

Monday, November 2, 6:00 PM to 9:00 PM

Pillars Preparatory Academy

34 Charles St, South River, NJ 08882

Player's First Name *

Player's Last Name *

Player's Date of Birth *

Parent's First Name *

Parent's Last Name *

Email *

Phone *

Player's Current Club/Team (if any) *

Gioca Futsal Tryouts, November 2, ages 5 to 17. Schedule: 6 to 7 PM ages 5 to 8, 7 to 8 PM ages 9 to 12, 8 to 9 PM ages 13 to 17. Pillars Preparatory Academy, 34 Charles St, South River, NJ 08882.

Select your player's age group and session time (see schedule above) *

Player's position? *

Goalkeeper | Portero | Goleiro

Defender | Defensa | Zagueiro

Midfielder | Mediocampista | Meio-campista

Forward | Delantero | Atacante

Not sure | No sé | Não sei

Emergency contact: name, relationship to player, and phone *

Soccer or futsal experience (optional)

By checking this box, I agree to the Gioca Soccer Academy Waiver & Liability Release:

https://docs.google.com/document/d/1HS3CnRERXZT_WaSneh7JdFUXQTCdCcmhQwZG7cHj3Tc/edit?usp=sharing

By checking this box, I consent to receive marketing, non marketing, tryout reminders, and promotional messages including special offers, discounts, new product updates among others from Gioca Soccer Academy at the phone number provided. Frequency may vary. Message & data rates may apply. Text HELP for assistance, reply STOP to opt out.