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Kiddie Kicks Soccer Registration Form

Child Details:

Parent/Guardian Details:

Select your preferred location to see the classes available. You can choose to go on the waiting list if a session is full:
Liability Waiver: As a participant in a program run by Kiddie Kicks Soccer, my son/daughter is in good health and has my permission to participate in the soccer program. Kiddie Kicks Soccer, and its directors, employees and the facilities assume no responsibility and will not be held liable for any injuries and illness, or accidents during the class resulting in medical, dental or other expenses. I also give Kiddie Kicks Soccer permission to use my child's picture in promotion of the program in printed media and other forms of advertisement. I fully renounce all claims upon Kiddie Kicks Soccer for reimbursement for the use of this material. I, on behalf of myself, my executors, administrators, heirs, next of kin, and successors, hereby covenant to hold harmless and indemnify Kiddie Kicks Soccer and all its officers, departments, agencies, and employees from any and all claims, lessees, damages, injuries, fines, penalties, and costs (including court costs and attorney's fees), charges liabilities, or exposures, however caused, resulting from or arising out of or in any way connected to my or my family's participation in any Kiddie Kicks program/services. I also agree to be placed on the Kiddie Kicks mailing list until such time as I choose to remove myself from it. I have read, understood and agree to the terms of this Agreement.
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