SoccerKids Marin Summer Classes Registration

You are joining the WaitList for:
Fridays at Memorial Park in San Anselmo -- Coach Ian (Fridays for 4's and 5's (3:15 - 3:55pm))
Dates: 06/25/21 - 08/06/21 (3:15 PM - 3:55 PM)
Price: $150.00

NOTE: Fields with an * are required.

Participant Information

Name * First Last
Birthdate * MM/DD/YYYY
Gender *

Other Information

Email Address *
Required to send receipt.
Special Needs
Parent First Name *
Parent Last Name *
Address *
Address 2
City *
State
Zip *
Cell Phone used for text communication * - -

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Child's School

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