Session 2
Online Registration
July 7 - July 31

VERY IMPORTANT:  Please use the TAB key to advance to the next field.  Using the ENTER key to advance to the next field will send the form immediately and cause you to send an incomplete form.

Once you have submitted this registration form, a confirmation page will appear.  At that time, you will have the opportunity to pay your child's registration fee online if you so choose.

Advantages to online payment:

  • Convenient and secure

  • Eliminates the need for a trip to our office

  • Saves you from having to write a check

  • Relieves the coach from the responsibility of collecting your child's fee

  • Your child's registration is complete

  • The additional fee charged for the online payment service ($2.15 for Spring Soccer) is usually cheaper and more convenient than driving across town with the current gas prices

It is not mandatory that you pay at this time.  We will place your child on a team, regardless of payment status.  If you choose to pay later, we will simply hold your child's game shirt until payment is made.

Waiver of Claim Agreement of Terms & Conditions

You must agree to the terms and conditions of the Kids, Incorporated Waiver of Claim in order to complete this online registration form.  Before proceeding, please review this document by clicking here.

 

I acknowledge that I have read, understand, and agree to the terms and conditions of the Kids, Incorporated Waiver of Claim.  The original copy of this online registration form will become part of the official record at Kids, Incorporated.  A copy may be requested at our office located at 27th & Osage in the Kids, Incorporated WareHouse.

Please enter the full name of the individual accepting responsibility for the terms and conditions of the Kids, Incorporated Waiver of Claim.

Name of Individual Accepting Responsibility:       

Team Information

Team Name:

Coach's Name:

  

Participant Information

Event:  
Gender:  
Age::  
Birthdate:  
Child's First Name:  
Child's Last Name:  
Address:  
City:  
State:  
Zip:  
Home Phone:  
Shirt Size:  

Parent/Guardian Information

Your Relationship To This Child:  
Parent/Guardian First Name:  
Parent/Guardian Last Name:  
Address:  
City:  
State:  
Zip:  
Daytime Phone:  
Alternate Phone:  
Email Address:  
Coaching Interest:  
Emergency Contact:  
Emergency Contact Phone:  

Existing Medical Conditions

Does this participant have any disabilities, handicaps, present injuries or limitations, allergies, hemophilia, heart condition, history of respiratory illness or any other significant medical condition?)

      If yes, please state conditions:

 

BEFORE you submit your form, please make sure that all fields are complete.  Our system will time-stamp your form automatically.  Thanks for your participation in our program!  A confirmation page should appear after you click the submit button.