PIRATE SOCCER ADVENTURE RESERVATION

TO RESERVE YOUR PLAYER "A SPOT ON BOARD"
4,5,6 yEAR-OLD sOCCER pIRATE aDVENTURE

* Indicates required field

Age as of June 11, 12, 13 2018 *

4 Year Old (9:00 -9:45 am, M T W) 5 Year Olds (10:00-10:45 am, M T W) 6 Year Olds (11:00 - 11:45 am, M T W)

Parent Primary Email *

Parent Cell # Primary *

Parent Secondary Email *

Parent Cell# Secondary *

Player's Name *

First

Last

Player's Gender *

Girl Boy

Parent / Guardian Name *

First

Last

I understand *

YES - Sign a Medical Waiver AND Pay $35 fee

Need to Leave a Note? (Please alert any health concerns) *

Submit