Peace Lutheran Soccer Registration Form
Program Dates: May 11, 18, June 1, 8 2024
3-4 year old - 9:00 AM Session
5-6 year old - 10:00 AM Session
Cost is $25 per child and includes t-shirt (youth small) and post session snacks

Email peaceaasports@gmail.com for questions!

8260 Jackson Rd, Ann Arbor 48103
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Child's Name (First Name, Last Name) *
Age *
Birthdate  *
MM
/
DD
/
YYYY
Parent Names (First Name, Last Name) *
Street Address
City
State
Zip Code
Parent Cell Phone *
Parent Cell Phone 2
Parent Email Address *
Parent Email Address 2
Would like to help coach my child's team *
Give permission for my child to play in Peace Lutheran Soccer Program *
Give permission for my child's photo to be used in Peace marketing/publicity materials *
Either myself or another adult family member will attend sessions *
I would like more information about Peace or children's programs at Peace *
Special Requests/Additional information
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