Registration

Kick It USA - 55 Recreation Park Drive - Hingham Ma - 02043 - 781-740-1106

Kick It USA

The Official Website of Kick It USA

Registration

News

European Soccer Tours

2011 Summer Vaction Camp Dates Now Available!

Tots Classes

Specialty Clinics

Registration Form

Please choose one

*Note: Due to staff scheduling, there is a no refund policy for all clinics. Thank you for your understanding.

*Please hit submit button once. There will be no confirmation regarding the submit button although a confirmation email will be sent no later than 4 weeks prior to first day of class.

Contact us:

Kick It USA

55 Recreation Park Drive

Hingham MA, 02043

781-740-1106

info@kickitusa.com

Player's Name:

Age:

Date of Birth:

Street Address:

City, State, Zip:

Contact Numbers:
(Home):
(Cell):

Parent(s)/Guardian(s) Name:

Email Address:

Other Email Address:

Any health problems about your child we should be aware of?

Program you are signing up for?

Location?

Day and time you are signing up for?

Where did you hear about our programs?

I, THE MINOR’S PARENT AND/OR LEGAL GUARDIAN, UNDERSTAND THE NATURE OF Kick It USA Inc.'s ACTIVITIES AND THE MINOR’S EXPERIENCE AND CAPABILITIES AND BELIEVE THE MINOR TO BE QUALIFIED, IN GOOD HEALTH, AND IN PROPER PHYSICAL CONDITION TO PARTICIPATE IN SUCH ACTIVITY.  I HEREBY RELEASE Kick It USA Inc., ITS COACHES, MANAGERS, MEMBERS, EMPLOYEES, AGENTS, AND AFFILIATES, FROM,  AND AGREE TO INDEMNIFY AND HOLD THEM HARMLESS AGAINST ALL CLAIMS ARISING OUT OF OR RELATED TO ANY  
INJURY THAT MAY OCCUR TO SAID MINOR CHILD WHILE PARTICIPATING IN ANY Kick It USA Inc. PROGRAM.

Signature_________________________________________Date:_________
(this can be signed at the first session)

By initialing this line, I give permission for my child's picture to  
be used in Kick It USA marketing materials:__________

For Official Use Only:

Cash or Check
Check #:_____
Amount:_____