Ball Skills and-or Speed Training Application
Ball Skills and/or Speed Training Training Sessions
Sponsored by Jersey Knights Soccer Club
Online Registration is Available!
Name:___________________________
Address: _________________________
TownZip:_________________________
Birth: ____________________________
Email:____________________________
Location: St. Teresa's Gym, 15 Fox Road, Edison
Dates: Sessions - Monday's February 11th, 18th, 25th, March 4th, 11th, 18th
Time: 6:15 PM - 7:15 (Speed Training)
7:15 PM - (Ball Skills)
Cost: $150.00
Online Registration is available or Mail your application to:
Ball Skills
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.: ____________________________________________________________________