1. Sign Up

Class Information

Location: Bothell : Stipek Park Day: Tuesday Class: Soccer 2 (7 - 10 yrs) Time: 5:10-5:55pm Dates: 9/24/24 — 10/22/24 Meetings: 5 Class Price: $106.00

Student Information

*First Name:

Last Name:

Date of Birth: (mm/dd/yy)

Parent/Guardian Contact Information

First Name: Address/P.O.Box: City:

Last Name: Suite or Apt.: (optional)

State: ZIP/Postal Code: Country: Email Address:

Phone #1:

ext.

Phone #2: (optional)

ext.