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Registration

Registration

REGISTRATION

Child Information
First Name
Last Name
Date of Birth
Gender
Age
School Attending
Parent Information
Mother Name
Father Name
Address
City/State/Zip
Phone
Email
Registration

Please select Sessions or number of Single Classes:

Super Soccer Stars
Wednesdays
2-4 years old


Single Classes ($35/class):
Payment
Total Amount
Card Type
Card Number
Expiration Date
CVV Code
Comments

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