Speed Training Application

Speed Training

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 13th, 20th, 27th, March  6th, 13th, 20th

Time: 7:15 PM

Cost: $150.00

Online Registration is available or Mail your application to:

Speed Training
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.: ____________________________________________________________________

 
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