Stockade FC's Fall Youth Clinic 2019
Hello there! We're excited to invite you to participate in our Fall 2019 Youth Clinics! Please fill out the info below to reserve your spot and we'll follow up with additional information.

The clinics will be held at Dietz Stadium in Kingston (rain or shine!) and are open to boys and girls ages 7-14 years old, of all skill levels. The suggested donation for the clinic is $5 (to cover cost of fields, etc). A huge special thanks to our sponsor, ULSTER SAVINGS BANK for helping make this event possible.

+ Kids should bring their own ball (please write your name on it) and wear shin guards / soccer appropriate footwear.
+ All kids must be accompanied by an adult (and will need a wavier signed by a parent or guardian prior to playing).
+ If you are registering more than one child, please complete this form twice, etc.

For any additional information or questions, please contact:
Email address *
Child's first name *
Your answer
Child's last name *
Your answer
Which date would you like to sign up for? *
(yes, it's okay to sign up for both)
Child's age *
Child's t-shirt size *
Child's soccer skill level *
Parent/Guardian's first name *
Your answer
Parent/Guardian's last name *
Your answer
Parent/Guardian's phone number (for emergency use) *
Your answer
Have you been to a Stockade FC match before? *
Does your child currently play in a youth soccer program? If so, which one?
Your answer
How did you hear about our Youth Clinic?
Your answer
I agree to the Release of Liability & Assumption of Risk Agreement available at: *
Never submit passwords through Google Forms.
This form was created inside of Stockade FC. Report Abuse - Terms of Service