JK Elite Application 2018

JK Elite

Sponsored by
Jersey Knights Soccer Club

Online Registration is now Available!

Name:___________________________

Address: _________________________

TownZip:_________________________

Birth: ____________________________

Email:____________________________


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

Indoor Winter Location: St. Teresa's Gym, Fox Road, Edison (Left off of Woodbridge Avenue going towards Highland Park)

Outdoor Dates: Friday’s Starting  January 26th    Time: 6:30 - 7:45 PM

Indoor Dates: Friday’s Starting in January     Time: 6:00  - 7:15

Cost: $350.00

Online Registration is available or Mail your application to:

JK Elite
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.: ____________________________________________________________________

____________________________________________________________________

Affiliates

Affiliates

Sponsors