SoccerKids Marin Summer Classes Registration

You are registering for:
Wednesdays at Town Park in Corte Madera - Coach Toni (Wednesdays PM for 5 and 6s (4:25pm - 5:10pm))
Dates: 06/16/21 - 07/28/21 (4:25 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

Have a Coupon Code? Apply here to Redeem It

Coupon Code Not case sensitive.

Waiver and Policies

I have read and agree to the Policies.
I have read and agree to the Waiver and Release.