Registration Form

Name of player

Parent name

Address

Date of birth

Phone #

City, Zip Code

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Any information we should know about your child (medical conditions, injury)?

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Kick Start Tots (5 & 6 years old) Wednesday 5 pm - 6 pm

Academy (7 to 10 years old) Monday & Wednesday 6 - 7:30 pm

There is no make up sessions.

Tots and Tikes Fee: $69 per month. Automatic Renewal discount $59. Siblings get a $10 discount

Academy Fee: $120 per month. Automatic Renewal discount $100 per month

By submitting this form I consent the use of images or videos of my child, to be used for marketing purposes by Fair Play Indoor Soccer. This could be in any type of format, digital, hard copy, etc.

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