GRAND BLANC SUMMER + SPRING 2023 SUMMER +SUMMER Is your child currently enrolled in our program?YesNoRegistration FeeAnnual registration fee, non-Refundable. The annual registration fees help us cover Soccer Kickers T shirts, soccer equipment such as soccer balls, cones, training vest etc.. At the end of the season each child will receive a prize! $38SPRING +SUMMER 2023* Ages 2-3 ($ 350) Tuesdays 5:45 PM- 6:20 PM Ages 4-6 ($370) Tuesdays 6:25 PM- 7:15 PM Ages 7-10 ($390) Tuesdays 6:25 PM- 7:15 PMFind your Location:Location*Mason Elementary School. Program open to the public.4455 E Cook Rd, Grand Blanc, MI 48439Child InformationChild Name* First Last Gender*MaleFemaleBirthday* MM slash DD slash YYYY Special needs for the child/children such as allergies, disabilities, medications etc.*Parent InformationParent Name* First Last Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email* Phone*Socks and ShortsMatch your child's jersey with our Soccer Kickers Socks and Shorts.YesNoDoes your child have a Soccer Kickers uniform?*Soccer Kickers requires each child to have a uniform. Shirts for practices and uniform for games. Our uniform is a set of shirt with number on the back, shorts, and socks.NoYesWhat Color?*White and GrennBlue and WhiteOrange and Purple* * I have read and agree to the Policies* * I have read and agree to the Waiver & Photo ReleaseCoupon Total $0.00 CAPTCHAPayment MethodYou do not need a PayPal account to make a payment. You can use a debit or credit card. Please select the " Credit Card" option instead of " PayPal Checkout". You can also use our " PayLater".PayPal CheckoutMasterCardVisaSupported Credit Cards: MasterCard, Visa Card Number Expiration Date Security Code Cardholder Name EmailThis field is for validation purposes and should be left unchanged.