Active Kids Soccer League registration

Active Kids Soccer League Registration
Kids ages 3-10

Pre-Season registration for the 2009 Spring Season begins October 11, 2008. Registration discount of $5.00 for all returning players.

Open registration will begin October 25, 2008, for NEW & returning players not yet registered. Returning players registering after October 25th will still received their "Returning Player" discount. We look forward to seeing you next Spring!

Cost:

Mini-Kickers: $70.00

U-5: $70.00

U-6: $75.00

U-8: $80.00

U-10: $85.00

Cost includes uniform (shorts, shirt, socks)

*Sibling Discount

$5.00 off each additional child.

Applications will not be processed w/out payment.

Please note that all fields followed by an asterisk must be filled in.

Parents Full Name*
Parents Full Name*

Childs Full Name*
Childs Full Name*

Childs DOB*
Childs DOB*

Childs Age*
Childs Age*

Male/Female*
Male/Female*

Age group*
Age group*

Uniform Shirt Size

Uniform Short Size

E-mail Address*
E-mail Address*

Street Address*
Street Address*

City*
City*

State/Prov*
State/Prov*

Zip/Postal Code*
Zip/Postal Code*

Home Phone*
Home Phone*

Cell Phone*
Cell Phone*

Work Phone*
Work Phone*

Best Phone # for Messages*
Best Phone # for Messages*

Insurance Information*
Insurance Information*

Little Things We Should Know

Your child is healthy with no known medical conditions?*
Your child is healthy with no known medical conditions?*

	Yes, my child has no medical conditions that would prevent him/her from participating in the Active Kids Soccer League.
	No, my child has medical issues that might hinder him/her from participating in the Active Kids Soccer League.

Please enter the word that you see below.

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Active Kids Soccer League RegistrationKids ages 3-10

Active Kids Soccer League Registration
Kids ages 3-10