SoccerKids Marin Summer Classes Registration

You are joining the WaitList for:
Tuesdays at Strawberry Rec in Mill Valley -- Coach Toni (Tuesdays PM for 2 1/2 and 3 1/2s (4:40pm - 5:10pm) Adult Participation May Be Required)
Dates: 06/15/21 - 07/27/21 (4:40 PM - 5:10 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 * - -

Send me important updates via text? Yes No Check 'Yes' to receive SMS Notification on 'Cell Phone used for text communication'
Child's School

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