Booster Club Registration

Please complete and submit the following form. Remember to submit payment at the address listed at the bottom of the form.

Player Information


Parent/Guardian 1 Information


Parent/Guardian 2 Information


Registration Fees

The  $170 Booster Club registration fee includes 10 carwash fundraiser tickets which can be resold for $5 each.


Payment Options:

Venmo:
    @jeffersonsoccer

PayPal
    jagspayment@gmail.com