Youth Basketball Clinic on December 16, 2018

Register for Soccer Sunday Clinic - Plainfield

($40 Registration Fee)
This is an INDOOR Soccer clinic series that meets on each Sunday at Plainfield High School for children in U6, U9, and U12 age groups (105 Putnam Rd, Central Village, CT 06332)

PROGRAM DATES:
- 2/9/25
- 2/16/25
- 2/23/25
- 3/2/25
PROGRAM TIMES
- U6 - 12:30 P.M. - 1:30 P.M.
- U9 - 1:30 P.M. - 2:30 P.M.
- U12 - 2:30 - 3:30 P.M.
The clinic will focus on increasing soccer skills, playing fun soccer games, fostering teamwork, and having fun! Please enter the information below to register for the free clinic.

Please use the form below to register for the clinc. If you are registering multiple children. Please fill out a seperate form for each child.

Please prepare for your child to bring sneakers, shin gaurds, and a soccer ball
Child's Name*

First NameLast Name
Age of Child*
Gender*
Does your child have previous soccer experience?
If so, to what level?
Please select which group you are registering for *
PLEASE SELECT AGE GROUP

Plainfield Soccer Sunday - Registration Fee $40

Plainfield Soccer Sunday Registration Fee $40.00

This registration fee allows NOW to host this clinic by providing funds to open Plainfield High School as well as allowing low income youth the opportunity to play using our scholarship program.

Total $0.00

Credit Card

Primary Parent/Guardian Information
Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E-mail*
Cell Phone*

Area CodePhone Number
Secondary Parent/Guardian Information

Optional
Full Name

First NameLast Name
Cell Number

Area CodePhone Number
Any medical conditions or allergies?
Additional Comments:
By submitting this form, I agree to the following:

I hereby release Northeast Opportunities for Wellness, Inc. (NOW) and NECONN, Plainfield Youth Soccer, and Last Green Valley FC from any and all claims of liability, personal injury or property damage arising from participation in this program. I understand that participation in sports involves some element of physical contact and I certify that my child is in good health and able to participate in all activities. If any attention is required for illness or injury, I give my permission to NOW & NECONN, PYS, LGVFC staff member(s) for such care. I give consent for my child to be photographed or videotaped during the program and release use of the images by NOW for promotional purposes.
Should be Empty:

Register for Soccer Sunday Clinic - Plainfield

Credit Card

Primary Parent/Guardian Information

Secondary Parent/Guardian Information

By submitting this form, I agree to the following: