Little Kickers Soccer Clinic

Sponsored by
Jersey Knights Soccer Club

Online Registration is now Available!

Name:___________________________

Address: _________________________

TownZip:_________________________

Birth: ____________________________

Email:____________________________


Location: Jersey Knights Soccer Complex, Route 27, Franklin Township

Dates:  April 9, 16, 23, 30 May 7, 14

Time: 6:30  - 7:30 PM

Cost: $120.00

Online Registration is available or Mail your application to:

Little Kickers Soccer Clinic
993 Shepard Avenue
North Brunswick, NJ 08902

Make Checks payable to: Jersey Knights Soccer


Directions: The Jersey Knights Soccer Complex is located on Route 27 in Franklin Township.  For detailed directions visit the directions link on our website.  

                                        Medical Information

Name: _____________________________ Date: ___________

In Case of a medical emergency contact the following person/s.

Emergency Contact #1 : ___________________________ Phone: ______________

Emergency Contact #2 : ___________________________ Phone: ______________

List any medical concerns we need to be aware of—Medications, allergies, conditions, etc.: ____________________________________________________________________

____________________________________________________________________