JJ Soccer Clinic
JJ Soccer Clinic Flyer
Email address
Parents Name
Childs Name
Are you going to order a T-Shirt
Sizes
What grade is your child in ?
Required
Does your child have any allergies ?
If so what are they ?
Medical insurance information
Emergency contact information
Name & Relationship
Home Phone Number
Cell Number
Do you give staff permission to do first aid
Is there anything else the clinic staff needs to know about your child ?
A copy of your responses will be emailed to the address you provided.
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