"SERIOUS SOCCER....SERIOUS FUN!"

**Please fill out one form per participant**

FUTSKILZ SOCCER TRAINING  -   632 N. 12th St. #137     Murray, KY 42071    (502-439-4398)
STEP 1 (SIGN UP INFORMATION)
PLAYER INFORMATION
Player Name: 
Player D.O.B:
Parent Name: 
E-Mail Address: 
Home Address:
City:
Zip:   
Home Ph#:
Cell #: 
Emergency #:
Soccer Association/Affiliation
Other important information/injuries/illnesses/instructions:
FUTSKILZ CLASSES
FUTSKILZ GIFT CERTIFICATE
(Good For Training Or Apparel)
MONTH OR ELITE SESSION
LOCATION
LEVEL
CLASS DAY and TIME

FUTSKILZ ELITE ANNUAL DUES 2009 Elite Annual Dues - $75

FUTSKILZ ELITE
Winter Elite - $210  
 
FUTSKILZ OPEN
CLASSES		 Six-Week Session - $60           Four-Week Session - $40  
 

DISCLAIMER: Every player - and their parent/guardian, if the player is under 18 - must read this Waiver Form. Choosing "I Agree" at the bottom of this registration page signifies that each person has read, understands and abides by this information.

We use up-to-date technology to assure the protection of the financial information you submit with your registration.  All financial data is scrambled as it is sent to us so that it cannot be used by anyone but Futskilz Soccer.  We do not retain and store any sensitive financial information submitted with your registration