Mail Registration

Free Soccer Registration

Name: ___________________________   

Address: _________________________

Town/Zip: _________________________

Birth: ____________________________

Email: ____________________________

Location: Jersey Knights Soccer Complex

Dates: Friday, April 7  6:30 PM

            Wednesday, April 12th  6:30 PM

             Friday, April 21st  6:30 PM

Cost – Free (Registration Required)

Registration by mail to reserve a spot! Limited enrollment

Mail to:  Jersey Knights Free Training

                993 Shepard Avenue

                North Brunswick, NJ 08902

Directions:  The Jersey Knights Soccer Complex is located at 2186 Route 27 in North Brunswick.

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.: ______________________________________________________