Little Kickers/Training Club Soccer Clinics

Sponsored by
Jersey Knights Soccer Club

Online Registration is now Available!

Name:___________________________

Address: _________________________

TownZip:_________________________

Birth: ____________________________

Email:____________________________


Location: Jersey Knights Soccer Complex, 2186 Route 27, Franklin Township 08873

Dates: Friday's - April 13, 20, 27, May 4, 11, 18

Time: 6:30 - 8:00 PM

Cost: $120.00

Online Registration is available or Mail your application to:

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

Make Checks payable to: Jersey Knights Soccer 


                                        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.: ____________________________________________________________________

____________________________________________________________________