Junior Soccer Term 4
Registration for Term 4, 10 week Junior Indoor Soccer program.
Child's Name (First & Last) *
Your answer
Child's Date Of Birth *
MM
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DD
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YYYY
Parent Name (First & Last) *
Your answer
Parent Email Address *
Your answer
Parent Phone Number *
Your answer
Has your child played Soccer before? *
I acknowledge the cost for the 10 week program is $75 and this must be paid in full by - 19/10/18 (week 2 of the program) *
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