July 18th at Pecan Park Rec Center

We're thrilled to have you join us at the Nike Soccer Kick Around—a fun soccer event, where all kids take the pitch!

Please fill out this REGISTRATION form to CONFIRM your spot!

Registration closes on 7/6/2026.

Event Details:

Hours: 10:00am - 4:00pm.

Location: 145 S. Pecan Street, Los Angeles 90033

Participants Ages 10-12 will play from 10:00am-1:00pm.

Participants Ages 13-14 will play from 1:00-4:00pm.

Please arrive early for check-in.

Each child participating will receive a meal and beverages onsite.

Please wear appropriate game play clothing and shoes.

Athlete Information

Athlete's Name

First NameLast Name

Birth Date

MonthDayYear

Grade

Gender

Parent/Guardian Information

Name

First NameLast Name

Home Number

Format: (000) 000-0000.

Cell Number

Format: (000) 000-0000.

E-mail

example@example.com

Emergency Information

Emergency Contact's Name

First NameLast Name

Relationship

Phone Number

Format: (000) 000-0000.

Alt. Phone Number

Format: (000) 000-0000.

Does the athlete have any allergies, chronic illness, or medical conditions? If yes, please describe, and identify if any accommodations are needed.

Is the athlete prescribed an inhaler? If yes, please explain any instructions.

What size top do you wear?

Do you currently play soccer?

If Yes, how long have you been playing?

If Yes, do you play (select all that apply)

If Yes, how frequently do you participate when soccer is in season?

If you play on a club team, please share your current soccer club or organization name

If you do not play soccer, please select all that apply.

If No, do you see yourself playing soccer in the future?

Do you identify with any of the following communities? (Optional – this information is collected for informational purposes only and helps us improve access, inclusion, and our programs.) Select all that apply

Parent / Guardian Check Boxes (confirming that all below is read and confirmed)

I confirm the information provided is accurate and that I give permission for my child to participate in Nike Soccer Kick Around Event on July 18th, 2026.

I confirm that in the event that the child for which we are submitting this application can no longer attend the event, we will let Nike Soccer Kick Around Event know as soon as possible so we can offer the opportunity to another child!

I give my child permission to be photographed or filmed during the event for social media and internal communications.