ATI Soccer :: Action Tours International

ATI SOCCER Reservation Form

About You:

Participant Information:

Specify your Soccer Tour :

Team Name:

Gender: Male Female

Name:

(Exactly as in passport; your legal name, no abbreviated or nick-names)

DOB:

Address:

City:

State:

Country:

Zip:

Phone (day):

Phone (evening): Fax:

E-mail:

Are you a U.S. Citzen? Yes No, I'm a citzen of Passaport #

In case of emergency, contact:

Name:

Relationship:

Address:

City:

State:

Country:

Zip:

Phone (day):

Phone (evening): Fax:

E-mail:

Payment Information:

Check or money Order (Please fill out reservation form, sign, and mail it with check or money order)

Amount Included:	Deposit ($300,00)
Amount Included:	Final Payment

Mail to:
1666 Garnet Ave. # 1022. San Diego, CA 92109

Name:
(Parent or guardian providing consent for child's participation on Action Tours International)

I have carefully read the General Information and Conditions and agree
to the Reservation Form guidelines.