Central Park Soccer – Wed (K-2nd Grades)

$220.00 – $245.00

Ages: K-5th
Day of the week: Wednesdays
Start date: 1/19/22
Starting time: 1:25pm
Ending time: 2:25pm

Age Group:

Clear

*Form Below Must Be Completed to Reserve Spot

Guardian's first name*

Guardian's last name*

Guardian's relationship to the attendee*

Guardian's mobile phone number:*

Guardian's email address*

Attendee's first name*

Attendee's last name*

Attendee's grade*

Attendee's birth date*

Attendee's gender*

Girl

Boy

Kindergarten classroom number (If attendee is not in kindergarten enter "n/a")*

How will the attendee be picked up after class?*

Age Group:	Kindergarten, 1st Grade, 2nd Grade

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