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Davis: just4kicks Registration Form
Please note that all fields followed by an asterisk must be filled in.
First Name*
First Name*
Last Name*
Last Name*
E-mail Address*
E-mail Address*
City*
City*
Home Phone*
Home Phone*
Business Phone*
Business Phone*
How did you find us?*
How did you find us?*
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school flier
Banner
just4kicks website
Previous registrant
Davis Wiki
Other
Child's Name *
Child's Name *
Age*
Age*
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#2 Child's Name
#2 Age
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#3 Child's Name*
#3 Child's Name*
#3 Age
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Participation Agreement *
Participation Agreement *
I agree to my child participating in Just4kicks-Solano Inc. soccer classes. I further agree that I will not hold Just4kicks-Solano Inc., its sponsors, or field owners responsible in case of an accident or injury. I understand that no accident insurance is provided.