Kickaroo Kids!

May 10 to July 26, 2010

Applications must be submitted by April 19th, 2010.
Entry Fee : $100

Parent and Me Program (ages 5-8) Great introductory class for our young up and coming soccer stars. Basic introduction to sports. Coordination, running and interaction are the focus of the program. (Co-ed program)

We will be running mini soccer for Boys and Girls in age divisions 5 – 6 years old 7 – 8 years old at our London United Soccer Complex (Oxford @ Highbury) Season to commence week of May 10 running to week of July 26, 2010

Registration will be accepted until April 19th, 2010 Cost will be $100.

Please supply a Fax Number and / or an e-mail where you can be reached.

Age Division : Born after Jan 1st, 20 Sex :
Parent / Guardian Full Name :
Player Name :
Address :
City :
Province :
Postal (Zip) Code :
Home Phone :
Work Phone :
Cell Phone :
E-Mail :
Doctor Name :
Doctor Phone :
Date of Birth :
Please make cheques payable to : London United Competitive Soccer Club
75 Greebrier Cres.,
London ON.,
Canada
N6J 3X7

Registration is not complete until Payment has been received by LondonUTD.
A confirmation will be e-mailed to you after registration has been processed.