Summer
2010 Outdoor Lil' Kickers Session
Santa Rosa, Windsor, Petaluma
June 15-August 20
No membership required (for outdoor classes only).
Registration Form Please print this out and fax with a waiver to
707-581-1964, or mail it to:
Sports City, Attention Lil' Kickers, 921 Piner Road, Santa Rosa, CA 95403
Questions: please call 707-526-2884. You can also come to either
facility and register in person.
Register at any time during the session!
Childs Name
Registering for: Summer Outdoor 2010 Session
Please select the class(es) you are
registering for.
2-3
Years Parent and Child Classes
Tuesday
4:00
PM
Windsor
Wednesday
4:00
PM
Santa Rosa
Friday
4:00
PM
Petaluma
4-6
Years Beginning
Tuesday
4:00
PM
Windsor
Wednesday
4:00
PM
Santa
Rosa
Friday
4:00
PM
Petaluma
4-6
Years Intermediate
Tuesday
5:00
PM
Windsor
Wednesday
5:00
PM
Santa
Rosa
Friday
5:00
PM
Petaluma
7-10
Years
Tuesday
5:00
PM
Windsor
Wednesday
5:00
PM
Santa
Rosa
Friday
5:00
PM
Petaluma
Refund Policy
Full refunds will be issued if the request is received prior to a session
beginning or within 7 days after the date of your first class. If a refund is
requested after the first 7 days of the session start date or date of your first
class,
a $20 cancellation fee will be charged in addition to the price of classes that
have already taken place during the session.
Credit card payment information (MasterCard/Visa only.
Cash/checks are not accepted):
Credit Card Number:
Expiration
Date: Amount $
Name on Credit Card:
Signature:
All information is kept confidential.
PLAYER INFORMATION: To be completed by
Parent/Legal Guardian
Returning Lil' Kicker?
YES
NO
Player Name (First, Last)
Date of Birth
Age
Sex
Street
Address
City State Zip
Parent/Guardian Name
Home PhoneWork Phone
Cell PhoneE-Mail Address
Emergency Contact
Emergency Phone