Ultrafooty Weekly Classes Registration Form [WEST ESSEX]

Ultrafooty Weekly Classes
Location: 16 Passaic Ave, Unit #3, Fairfield, NJ
THIS LINK IS FOR WEST ESSEX FOOTBALL CLUB MEMBERS ONLY!
Class Breakdown

MONDAY:
- SELECT GROUP (Invitational) (6:00-7:00 PM) / 2016/2015 PLAYERS (7:00-8:00 PM)
TUESDAY:
- 2014/2013 PLAYERS (6:00-7:00 PM) / 2012/2011 PLAYERS (7:00-8:00 PM)
WEDNESDAY:
- 2018-2017 PLAYERS (6:00-7:00 PM) / SELECT GROUP (Invitational) (7:00-8:00 PM)
THURSDAY:

*Soccer Tots are 45-minute classes for kids ages 3-6 years old
- UF SOCCER TOTS (6:00-6:45 PM) / 2016/2015 PLAYERS (7:00-8:00 PM)
FRIDAY:
- 2014/2013 PLAYERS (6:00-7:00 PM) / 2012/2011 PLAYERS (7:00-8:00 PM)
Class Description:

All classes are centered around individual technique, fundamental aspects of the game such as dribbling, passing, receiving, and functional understanding. Master the ball, master the game. Try things out in a practical setting to enhance overall performance come the weekend.
Participant's Name:*

First NameLast Name
Gender*
Age*
Birth Year*
Which West Essex team do you play for?*
Who is your coach?*
Parent/Guardian's Name:*

First NameLast Name
Parent's Phone Number*
Please enter a valid phone number.
Parent's Email Address*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Participant's Class Selection?*

Mondays (2016s/2015s) @ 7:00 - 8:00 PMTuesdays (2014s/2013s) @ 6:00 - 7:00 PMTuesdays (2012s/2011s) @ 7:00 - 8:00 PMWednesdays (2018/2017) @ 6:00 - 7:00 PMThursdays (Soccer Tots) @ 6:00 - 6:45 PMThursdays (2016s/2015s) @ 7:00 - 8:00 PMFridays (2014s/2013s) @ 6:00 - 7:00 PMFridays (2012s/2011s) @ 7:00 - 8:00 PM
If your class request is full, what other days work in your schedule (M-F; put N/A if you have no alternative availability)*
Participant's Skill Level?*
Please answer as accurately as possible. Thank you!
ALL PLAYERS MUST BRING THE FOLLOWING:
- PERSONAL SOCCER BALL
- SUFFICIENT AMOUNT OF WATER
- PROPER FOOTWEAR (TURF/INDOOR SOCCER; NO BASKETBALL/RUNNING SHOES)
- SHIN GUARDS
PRICES HAVE BEEN DISCOUNTED FOR WEST ESSEX FOOTBALL CLUB MEMBERS
Payment *
prevnext( X )
Single Session
$20.00

Total

$0.00
In consideration of being allowed to participate in Ultrafooty classes, the signed individual agrees to assume all risks incidental to such participation. The undersigned individual hereby agrees to indemnify and hold harmless each of Ultrafooty LLC parties from and against any and all liabilities, claims, actions, damages, costs, or expenses of any nature whatsoever, whether in law or equity, known or unknown, incurred by any of Ultrafooty LLC parties.*

Clear
I grant Ultrafooty LLC permission to use the photography/videography taken throughout any sessions/clinics/camps for any legal use, including but limited to publicity, copyright purposes, illustration, advertising, and web content.*

Clear
Any questions or concern:
How did you hear about us?*

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Payment Methods

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Ultrafooty Weekly Classes

Location: 16 Passaic Ave, Unit #3, Fairfield, NJ

THIS LINK IS FOR WEST ESSEX FOOTBALL CLUB MEMBERS ONLY!

Class Breakdown

Class Description:

PRICES HAVE BEEN DISCOUNTED FOR WEST ESSEX FOOTBALL CLUB MEMBERS