SATURDAY SOCCERTIKES WINTER SESSIONS!

SoccerTikes will be offering Saturday morning sessions this coming January at the Connecticut Speed School
located in Milford. SoccerTikes is a child development program that introduces the game of soccer to children in
many diverse activities that focus on soccer based skills. SoccerTikes uses the game of soccer to foster growth in
psychomotor, cognitive and affective skills for each child. Classes for children between the ages of 3 to 7 will be
held at 9:00 a.m. All sessions are an hour long and each child receives a SoccerTikes T-shirt. Classes will begin on
January 4. Let SoccerTikes introduce your child to the wonderful game of soccer in a fun and engaging way. For
more information please contact Kevin at 203-444-6298 or e-mail Kevin@SoccerTikes-ct.com.

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SoccerTikes Program Information

Date:
01/04/2014-02/08/2014
Location: Connecticut Speed School
Address: 217 Pepes Farm Rd., Milford
Cost:
$85.00 includes a T-shirt
9 AM - 3 and 4 year olds Field 1
9 AM - 5, 6, and 7 year olds Field 2
Registration Information Contact:
Kevin Fallon at 203-444-6298 or e-mail - Kevin@soccertikes-ct.com

Checks Payable to - SoccerTikes

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SoccerTikes Registration Form
Please send checks to SoccerTikes, 74 Essex Drive, Milford, CT, 06460
Please make all checks Payable to SoccerTikes LLC.

Childs Name:

Parents Name:

__________________________________________

_________________________________________

DOB: _________________________________________________

Address: ______________________________________________

Special Concerns:

EMAIL:
_________________________________________________

_______________________________________
Emergency (Name &Telephone):___________________________

Phone: (_____)

__________________________________________
T-Shirt Size:

YS

YM

YL
PLEASE READ THE FOLLOWING STATEMENT AND SIGN BELOW
By my signature, I do hereby assume all risks of personal injury involved in this activity. I do hereby release the SoccerTikes LLC., Connecticut
Speed School, the instructors and agents of liability and suits at law or in equity resulting from this activity. Furthermore, I acknowledge that I have
read the rules and regulations established for this program with my child and understand that my child may be suspended and/or expelled from this
program for violating any of these guidelines; and that all decisions made by the SoccerTikes LLC. are final.

SIGNATURE: _______________________________________________________ DATE: _______________________