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Programme de soccer Skillz
Offert aux 4 à 12 ans /
Offered to 4 to 12 years old
Du 4 juillet au 26 sept. - 125$ pour 10 semaines /
From 2 july to 26 sept. - 125$ for 10 weeks
Entraineurs qualifiés /
Qualified trainers
Paiement Interac seulement /
Interac payments only
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Email
*
Your email
Nom complet de l'enfant / Child's complete name
*
Your answer
Date de Naissance / Date of Birth
*
Enfant / child (4-1 ans)
MM
/
DD
/
YYYY
Restrictions Médical / Medical restrictions
allergies, médicament, etc...
Your answer
Telephone maison / Home telephone
*
Your answer
Adresse complete à domicile / Complete Home address
*
Numéro, nom de la rue, code postal
Your answer
Nom complet du parent ou tuteur légal / Parent or legal guardian complet name
*
information du parent/tuteur --- Parent's or tutor information
Your answer
Téléphone en cas d'urgence / Emergency phone number
*
Your answer
Ville / City
*
Choose
Ile-Bizard
Pierrefonds
Montréal
Laval
Autre
Choisir la grandeur de chandail / Choose the shirt size
Petit / small
Moyen / Medium
Large
Clear selection
Frais d'assurances / Insurance fees
*
Des frais uniques d'assurances de 40$ seront chargés si votre enfant n'est pas inscrit à un club de soccer fédéré pour 2021 / One time insurance fees of 40$ will be charged if your child is not registered with a federated soccer club in 2021
Inscrit / Registered
Non inscrit / Not registered
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