AAMW - 16th Annual Soccer Clinic

REGISTRATION/PERMISSION FORM   -  Access Form in Spanish

Parents/Guardians: Please provide the required information. 

I am responsible for the above child (between the ages of 5 years and 12 years) and give my permission for the child to attend:

The African American Men of Westchester’s

“SUMMER SOCCER CLINIC”

Date: Saturday, September 7, 2024

Time: 10AM – 2PM

Location: Theodore D. Young Community Center

32 Manhattan Avenue

White Plains, NY  

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Child's Name *
Child's Current Age *
Parent/guardian's name *

Parents/Guardians:

I am responsible for the above child (between the ages of 5 years and 12 years) and give my permission for the child to attend:

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Parent/guardian's secondary number *
Parent/guardian's address *
A copy of your responses will be emailed to the address you provided.
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