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Lil' Kickers' REGISTRATION FORM - South

Please fill in the following information and then click SUBMIT at the
bottom of the page, or print this form and fax or mail it to Lil' Kickers.

Sports Connection - South Charlotte
PO Box 470881 Charlotte NC 28247 
704-583-1444 (Phone)
704-583-6112 (Fax)

  

Child's Name

Address
City    State    Zip
Age     Birthdate    Sex    School 
Parent's Names Mom's    Dad's
E-mail Address
Phone Numbers Home Cell Work
Special Notes 

CLASSES

LIL' KICKERS  - CLASSES
All South Charlotte
Classes Are Indoors At
Sports Connection		 Summer/Fall '10
 July 24 - October 2
 
 $120 (10 classes)
 
 Annual Player's Card
Registration Fee Required  		 Fall/Winter '10
 October 9 - November 6
 
 $60 (5 classes)
 
 Annual Player's Card
Registration Fee Required  
Bunnies (18 - 24Months)
Parent & Child Classes		 Saturdays 9:00 AM Saturdays 9:00 AM
Thumpers (25 - 35 Months)
Parent & Child Classes		 Saturdays 9:00 AM Saturdays 9:00 AM
Cottontails (2.5 - 3.5 Years
Parent and Child class		 Saturday 9:00 AM Saturday 9:00 AM
Hoppers (3 & 4 Years)
Beginner		 Saturday 10:00 AM
Saturday 11:00 AM 		Saturday 10:00 AM
Saturday 11:00 AM
Jackrabbits (3 & 4 Years)
Intermediate		 Saturday 10:00 AM Saturday 10:00 AM
Big Feet (5 & 6 years)
Beginner		 Saturday 11:00 AM Saturday 11:00 AM
Micro Leagues (4-5 Years)
 Intermediate		 Saturday 10:00 AM Saturday 10:00 AM
Micro Leagues (6-7 Years) Saturday 11:00 AM Saturday 11:00 AM


Space Is Limited.  Lil' Kickers Are Accepted On A First Come Basis.
Please wear sneakers or flat-soled shoes. No Cleats Permitted.
 

Payment Information
 Once your Registration Form has been received and processed, you will receive an
Email or Phone Call with instructions to log into our online system to
process your child's Lill' Kickers' Payment. 

An Annual Player's Card Registration Fee Will Be Required for All Lil’ Kickers Sessions.
Click Here for Details


Consent Form
All participants must have a Signed Release and Waiver Of Liability and Indemnity Agreement and Consent Form on file with Sports Connection before they will be allowed to participate in any Leagues or Other Activities associated with the Sports Connection, LLC.  Participants under 18 years of age must have a parent or guardian sign the Sports Connection, LLC Release and Waiver Of Liability and Indemnity Agreement.

I,    (self/parent/guardian), desire for my (self/son/daughter) to participate in one of Sports Connection, LLC's or Charlotte Sports Center, LLC' leagues or other activities and have read and agree to the terms and conditions listed below regarding the Release and Waiver of Liability and Indemnity Agreement. I understand that playing in a sports league or other activity involves physical contact between players and I assume the risks associated with (my/his/her) participation. (I/My child) (have/has) no known medical conditions which prohibit participation.  I agree to hold harmless and release Sports Connection, LLC, Charlotte Sports Center, LLC and their agents and sponsors from legal liability resulting from any injuries sustained during participation in these activities. I understand Sports Connection, LLC and Charlotte Sports Center, LLC cannot be responsible for loss or damage to (my/my child's) personal possessions. You may use (my/my child's) photograph in future promotions. 

Click Here To Read Complete Release and Waiver Of Liability and Indemnity Agreement.