GALAXY POLL
Who was the Galaxy Man of the Match vs. the FCD?
  • E. Buddle
  • L. Donovan
  • D. Beckham
  • C. Klein
  • E. Lewis

Galaxy Fantasy Camp Registration

When: December 17 – 21
Time: 9:00 a.m. – 4:00 p.m.
Where: The Home Depot Center
Cost: $995*
*Registration cost is non-refundable

Learn what it is like to train like a professional soccer player at The Home Depot Center. Where else can you find a coaching staff of former Galaxy greats who will put you through training during the day? View event details »

To register for the Galaxy Fantasy Camp, please fill out the form below. All fields marked with an * are required.

Step 1. Registration Information
Item Quantity Total
Galaxy Fantasy Camp Registration    1   $
TOTAL: $
Step 2. Player's Information
* Gender: Male   Female * Highest soccer level played:
* Years you have played soccer: * Requested jersey number: (Limit: 2 digits)
* Name to appear on jersey:
(Limit: 9 characters) 		* Jersey Size:
* Short Size:
* Position(s) you play:  Goalkeeper     Defender     Midfielder     Striker
League name: Team name:
* Emergency Contact Name: * Emergency Contact Phone:
* Primary Physician: * Primary Physician Phone:
Step 3. Billing & Shipping Info
Billing Info
*First Name:
*Last Name:
Organization:
*Address:
Address Line 2:
*City:
*State / Province:
*Zip / Postal Code:
*Country:
Shipping Info same as billing info
*First Name:
*Last Name:
Organization:
*Address:
Address Line 2:
*City:
*State / Province:
*Zip / Postal Code:
*Country:

Step 4. Payment & Contact Info
Payment Info
*Name on Credit Card:
*Credit Card Number:
*Credit Card Expiration:
*Credit Card Type:
Contact Info
*Evening Phone:
Mobile Phone:
*Birth Date:
*E-mail Address:
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Only click the 'Submit' button once.
No exchanges or refunds; not valid with any other offer. Subject to availability. All sales are final.