Free Trial Class Registration
Pre-register your child for a FREE Lil' Kickers Trial Class! You are welcome to come in for a free trial at the class time of your choice. Just come in a few minutes early and stop at the front desk and we will help you from there.

ALL classes are held at:
Sport Center 481
6841 Collamer Road East Syracuse, NY

NOTE: Please check our schedule on our website for days off (we are usually off during major holidays and school breaks).
www.lilkickersofsyracuse.blogspot.com

If you need immediate assistance please call 315-729-3363

Parent/Guardian: First & Last Name *
Your answer
Parent/Guardian: Phone Number *
(315) -XXX -XXXX
Your answer
Cell Phone Number
Used to receive Lil' Kicker Updates (upcoming sessions, special events etc)
Your answer
Cell Phone Provider
Verizon, ATT, Sprint ETC
Your answer
Parent/Guardian: Email Address
Your answer
Child: First and Last Name *
Your answer
Address
Your answer
Child: Date of Birth *
month / day / year
Your answer
Child: Age *
Your answer
Preferred Class *
We will help place your child in the age/skill appropriate class. PLEASE SEE COMPLETE CLASS DESCRIPTIONS AT THE END OF THIS FORM.
Next
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service