Kid's Club Registration
 

Child's First Name:

Child's Last Name:

Age:

Date of Birth:

Parent's Name:

Phone:

Address:

City:

State:

Zip:

Email:

Tuesday Classes 4pm
 I   Sept. 14 - Oct. 19
II   Nov. 2 - Dec. 7
III  Jan. 4 - Feb 8
IV  Feb 22 - March 30
V  TBA

 Thursday Classes 4pm
 I  Sept. 16 - Oct. 21
II  Nov. 4 - Dec. 9 (off 11/25)
III  Jan 6 - Feb 10
IV Feb. 24 - April 1
V  TBA
 

Session:

Please select as many sessions as you would like, hold Ctrl and select multiple if you need to.

 

Day:

Questions Email   SoccerCitySC@yahoo.com

OR CALL: (413)543-8554

 

                                                  
 
By typing your full name here, you indicate that you
agree with the above release statement and will adhere to the above mentioned stipulations.

Signature: