2007-2008 YOUTH SOCCER CLINICS APPLICATION |
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Please circle a session: |
Fall I (Starts Oct. 3) |
Fall II (Starts Dec. 5) |
Winter (Starts Feb. 13) |
Spring (starts April 17) |
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Summer I Starts June 17 (hours/ages tba) |
Summer II Starts Aug. 19 (hours/ages tba) |
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Please circle a Level |
Mighty Kickers |
Ages 3 1/2 - 5 |
Please circle
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Wednesday 5pm-6pm |
Saturday 9am-10am |
Developmental I |
Ages 5-7 |
Please circle
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Wednesday 5pm-6pm |
Saturday 9am-10am |
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Developmental II |
Ages 7-9 |
Saturday 10am-11am | |||
Mighty Strikers |
Ages 9-12 |
Saturday 10am-11am | |||
Name: |
Date of Birth: |
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Street Address:
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Age: |
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City: |
State: |
Zip: |
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Parent/Guardian Name: |
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Parent/Legal Guardian- Please sign the following release:I state that the above applicant is in good health and has my permission to participate in this program. |
Phone:Emergency Phone: |
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Signature: |
Date: |
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