Contact Form

2017 FALL PROGRAMS
Bethel ELC | Monday's, 10:45am | Sept. 11 - Dec. 4 | $156
Claire's Christian Day School | Friday's, 1pm | Sept. 8 - Dec. 14 | **REGISTRATION CLOSED**
FUMC Dallas Developmental Learning Center | Thursday's, 2:30pm | Sept. 14 - Dec. 14 | $169
Junius Learning Center | Tuesday's, 3pm | Sept. 12 - Dec. 5 | $156
Lake Highlands Christian Child | Thursday's, 4:15pm | Sept. 14 - Nov. 16 | $135
The Learning Tree School | Wednesday's, 11:45am | TBD
Our Redeemer Lutheran School | Wednesday's, 3:30pm | Sept. 13 - Nov. 15 | **REGISTRATION CLOSED**
The Weekday School at UPUMC | Monday's, 12pm-1:10pm | Sept. 11 - Dec. 18 **REGISTRATION CLOSED**
Zion Lutheran School | Thursday's, 10am | Sept. 14 - Dec. 7 | $156

Have questions about the Soccer Palz program and who it is a good fit for? Click here to learn more.
Otherwise, submit the form below to get registered today.

Pick Your Location (required)

Parent/Guardian First Name | Last Name (required)

Your Email (required)

Your Phone (required)

Address (required)

City State (required)

Zip (required)

Child's First Name | Last Name (required)

Child's Age (required)

Date of Birth (required)

Child's Teacher

Child's Classroom Number

Health Related Conditions that might affect your child's ability to participate

AGREEMENT TO PARTICIPATE/WAIVER OF LIABILITY/RELEASE

Participation in soccer can be inherently dangerous and regardless of the care taken to avoid injury, it is not possible to guarantee the safety of all participating individuals.

While playing soccer, accidents can happen. Some of these accidents may result in injury. Injuries may be minor such as bruises or scrapes Other accidents may lead to more significant injuries such as sprains, broken bones, cardiac arrest or death.

I certify that the participant: (1) possesses a sufficient degree of physical fitness to safely participate in soccer (2) understands that he/she is to stop activity if he/she feels undue pain or stress (3) acknowledge that the participant can adhere to the rules of soccer to create a safe playing environment for everyone.

I have read the preceding information and understand the risks associated with participation in Soccer Palz. I am voluntarily allowing the child mentioned (on Registration Form) to participate in the Soccer Palz program and understand that I am responsible for any medical expenses that may be involved with any injury my child may incur. This includes if we deem it necessary to contact the EMS. I hereby release Soccer Palz, it’s workers, owners, and contractors from any liability for injury, loss, or death of the participant during his/her involvement in the Soccer Palz program.

NOTES:

Please note: Soccer Palz does not prorate fees for missed sessions. However, if for any reason you decide to discontinue with Soccer Palz before your child’s third session, we will prorate your payment.

I have read the waiver/liability and notes. As this child's legal guardian, I agree to allow him or her to participate in Soccer Palz.
I ACCEPT

Submit My Registration

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