Sponsored by Jersey Knights Soccer Club
Online Registration is Available!
Location: St. Teresa's Gym, 15 Fox Road, Edison
Dates: Sessions - Monday's February 12th, 19th, 26th, March 5th, 12th, 19th
Time: 6:15 PM
Online Registration is available or Mail your application to:
993 Shepard Avenue
North Brunswick, NJ 08902
Make Checks payable to: Jersey Knights Soccer
Name: _____________________________ Date: ___________
In Case of a medical emergency contact the following person/s.
Emergency Contact #1 : ___________________________ Phone: ______________
Emergency Contact #2 : ___________________________ Phone: ______________
List any medical concerns we need to be aware of—Medications, allergies, conditions, etc.: ____________________________________________________________________