Child's Name

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In case of Emergency - Please list name and phone

Please list any allergies or special care your child may have:

Classes at Soccer Zone off 1431. Tuition is $130 - may be made in two payments of $65 due on Sept 12 and October 17. No class Oct. 31.

Choose a session:
4-6 year old - Sept 12-Nov 21 - 5:30-6:30pm
7-9 year old - Sept 12-Nov 21 - 6:30-7:30pm

First Kick will offer classes in September - May with NO official games.

Current student New student

By selecting this box, I allow Figo Learning Center to use pictures and movies of the child listed above in promotional materials (printed or web).

I have read the Terms and Conditions and will comply by them.

I will complete the Waiver Form and Medical Release by the first day of class.

Payment will be made by: check by mail online payment

Person completing the form

Relation to child Date

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After you register, you will be directed to the payment page. Payment may be made online through paypal or see instructions on payment by check.