Register - QuickFeet Soccer for Kids

Select Class*

Student #1 Information

Student #1 Status*

New Student
Returning Student

Student #1 Full Name*

First Last

Student #1 Date of Birth*

Student #1 Jersey Size*

*Please note that returning students who have played with us in the calendar year will not receive a new jersey, but will be required to wear their jerseys at all classes. 3T is typical for smaller 2 year olds YXXS is typical for 2-3 year old YXS is typical for 4-5 year olds YS - YL are typical for 6-7 year olds

Allergies/Prior Health Issues:

Student #2 Information (Optional)

Student #2 Status

New Student
Returning Student

Student #2 Full Name

First Last

Student #2 Date of Birth

Student #2 Jersey Size

*Please note that returning students who have played with us in the calendar year will not receive a new jersey, but will be required to wear their jerseys at all classes. YXXS is typical for 2-3 year old. YXS is typical for 4-5 year olds YS - YL are typical for 6-7 year olds

Allergies/Prior Health Issues:

Student #3 Information (Optional)

Student #3 Status

New Student
Returning Student

Student #3 Full Name

First Last

Student #3 Date of Birth

Student #3 Jersey Size

*Please note that returning students who have played with us in the calendar year will not receive a new jersey, but will be required to wear their jerseys at all classes. YXXS is typical for 2-3 year old. YXS is typical for 4-5 year olds YS - YL are typical for 6-7 year olds

Allergies/Prior Health Issues:

Parent/Guardian Information

Parent/Guardian Full Name:*

First Last

Address*

Street Address Address Line 2 City State ZIP Code

Email*

Cell Phone*

How did you find out about us?*

Additional Comments

Permission to Participate:*

By checking here, I hereby give my child permission to participate in the QuickFeet Soccer for Kids programs. I understand that soccer/football is a competitive sport that may run the risk of injuries. I agree to hold the QFSK, partners, sponsors, and other members involved harmless from all liability associated with my child.

Permission to Medical Attention:*

By checking here, I hereby give permission for any medical attention to be administered to my child in the case of any accident, injury, sickness, and or any medical occurrence until such time that I may be contacted. I also assume responsibility for any such treatment.

Terms & Conditions*

I accept all Terms & Conditions.