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Registration Form

Registration Fee (Non- Refundable)
$350

Student Information

Date of Birth
Month
Day
Year
Academic Grade Level (2026 - 2027)
Has student participated in structured soccer training before?
Has student participated in structured basketball training before?

Parent / Guardian information

Primary Contact

Relationship to Student

Secondary Contact ( Optional)

Program Selection

Single choice
Hybrid Academic + Athletic Program ( Core Model)
Athletic Training Only
Academic Support Only (Limited Availability)
Primary Training Focus
Does you child need academic support or accomodation?

Medical & Emergency Information

Permission for Emergency Care

Parent Commitment & Program Understanding

Parent/Guardian Acknowledges

Media releases

How did you hear about EAS?

Multi choice
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