PRE-SOCCER REGISTRATION

FALL LEAGUE

PRE-SOCCER

Start date: Sept18 : 9AM

    6 Saturdays 

    PRE-SOCCER (3-4 YR. OLDS)

This program is designed to introduce soccer skills through fun activities.  Players are gradually introduced to soccer games. 

                                  Great program for beginners.

LAST NAME:_______________________ FIRST NAME:_____________________

 o Male o Female              Birthday:______________________

Address ______________________City/State/Zip______________________________________

Email Address____________________________________ Cell Phone: (_____)____________________

Parent/Guardian Name ____________________________Home Phone: (_____)____________________

Medical Insurance Co.: ______________________________Policy No. :__________________________

Parental release: This is to certify that my son/daughter has permission to participate in any and all soccer activities. I assume all risks and hazards incidental to such participation, and I do hereby agree to hold harmless the staff of the All Star Sports Arena from any and all claims arising out of any injury to my child. Furthermore, this verifies that the player is up to date with his/her immunizations and is able to participate in all soccer activities. In the event of injury my permission is granted for treatment as required at the nearest medical treatment facility.

Medical Problems:________________________________________________________________________________

Guardian's Signature:______________________________________________________________________  

IMPORTANT NOTE: Enrollment is limited. Full and final payment is due at the time of registration.

Kendall Spencer/All Star Sports Arena Soccer / 1906 Cambridge St / Springdale, AR 72764

For more information call: Kendall Spencer 713-0853 Kendall.soccer@yahoo.com

Visit Allstarsportsarena.com for any & all new information on soccer at the arena.