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City of Davis: just4kicks Registeration 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*
Street 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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word of mouth
school flyer
just4kicks website
Previous registrant
Davis Wiki
Other
Participants Name *
Participants Name *
Participant Age*
Participant Age*
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Participant Class Selection*
Participant Class Selection*
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PK (3-4 y/o) 9:00-9:30 AM
k (4-5 y/o) 9:30-10:05 AM
K1 (5-6 y/o) 10:05-10:50 PM
2-3 (7-8 y/o) 10:50-11:50 PM
4-6 (9-12 y/o)10:50-11:50 PM
Participants Name #2
Participant #2 Age
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Participant #2 Class Selection
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PK (3-4 y/o) 9:00-9:30 AM
k (4-5 y/o) 9:30-10:05 AM
K1 (5-6 y/o) 10:05-10:50 PM
2-3 (7-8 y/o) 10:50-11:50 PM
4-6 (9-12 y/o)10:50-11:50 PM
Participants Name #3
Participant #3 Age
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Participant #3 Class Selection
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PK (3-4 y/o) 9:00-9:30 AM
k (4-5 y/o) 9:30-10:05 AM
K1 (5-6 y/o) 10:05-10:50 PM
2-3 (7-8 y/o) 10:50-11:50 PM
4-6 (9-12 y/o)10:50-11:50 PM
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.
