NVCA K-5th Grade Athletics Registration

NVCA After School Athletics Registration

K-5th Grade Practice Day: Mondays (3:15pm-4:15pm)
Click here for Program Information
Child #1 Name

First NameLast Name
Child #1 Grade
Teacher #1
Child #2 Name

First NameLast Name
Child #2 Grade
Teacher #2
Child #3 Name

First NameLast Name
Child #3 Grade
Teacher #3
Parent/Guardian Name

First NameLast Name
Additional Parent/Guardian Name

First NameLast Name
Email #1
example@example.com
Email #2
example@example.com
Phone Number #1
Format: 000-000-0000.
Phone Number #2
Format: 000-000-0000.
Does your child need to go to after school care following practice? (Make sure it is available at your school).

Other (Please type)
Please list any health concerns, if applicable
Policy and Release Waiver
I have read and agree to the Policies, Agreements and Release of Liability. Sign below.

NVCA - K-5th Grade Soccer

Mondays @ 3:15pm-4:15pm: begins 10/26 (practices on 10/26, 11/2, 11/9, 11/16, 11/30, 12/7)

$120.00 # of children

NVCA - K-5th Grade Flag Football

Mondays@ 3:15pm-4:15pm: begins on 1/11 (practices on 1/11, 1/25, 2/1, 2/8, 2/22, 3/1)

$120.00 # of children

Total

NVCA After School Athletics Registration