#10 School of Soccer
2006 Registration Form
To register complete the form below, print and mail to the #10 School of Soccer.
See below for instructions on how to register
Player #1 Name:
Age: T-shirt Size:
 *N/A for Kinder Kleats Spring & Fall sessions
Location : Date/Time:
Price:
Player #2 Name:
(if appropriate)
Age: T-shirt Size:
 *N/A for Kinder Kleats Spring & Fall sessions
Location: Date/Time:
Price:
Home Address:
Parent/Guardian Name:
Parent/Guardian  Telephone #(s):

Day: 

Night:
Email Address:
Emergency Contact Name: Telephone #:


I certify that my child(ren) is/are in excellent health and may participate in physical activity including soccer.  I agree to hold John Campbell's #10 School of Soccer, its agents, its employees and contractors harmless from any and all claims for injuries sustained to my child(ren) during his/her participation in the camp.  I grant permission for my child to receive emergency medical treatment.  I also grant permission for any photographs taken of my child in the program to be used for future promotional use.

Parent Signature ______________________________________________________________  Date ______________
Total number of children attending:    _____________
Total Registration Fee:  $ _____________
Less Discounts:  $ _____________
Enclosed is my check for:  $_____________
 Total number of T-shirts needed:    _____________

 


How To Register:
1. Select the appropriate class location and time for your child. Please visit the schedule page for list of all locations and time. Make a note of it for your personal records.
Register immediately because enrollment is limited.
2. Complete the application form. Be sure to check all the appropriate boxes and remember  the price includes one T-shirt per player. T-shirts are not available for Kinder Kleats Spring &Fall programs.
3. Print this page.
4.  Mail completed application form with check (payable to #10 School of Soccer) to:
#10 School of Soccer
172 Clinton Avenue, 
North Plainfield, NJ  07060

An administration fee of $50 will be charged for all canceled registrations.

5. No written confirmation will be sent.  If you request confirmation, please enclose a self-addressed envelope.
6. If a class is closed out, you will be informed immediately upon receipt of application.
Family Discount:    $5 dollar discount for each sibling.  $10 dollar discount for all early registrations                               for received before Mar. 1st for Spring Camps and June 1st for Summer Camps.
                              *Discounts are not available for Kinder Kleats Spring and Fall Programs.

Telephone (908)822-0309
Email info@10schoolofsoccer.com
Address: 172 Clinton Avenue
North Plainfield, NJ 07060

www.10schoolofsoccer.com