Sign Up For A Playgroup

    FALL 2021 GROUPS

    Courtneys LH Group | Thursdays, 4:15pm | Oct. 7 - Dec. 16 | $150
    Julies Lakewood Group | TBD | TBD | $150

    **All groups will be required to have a minimum of 7 registrants. If, for some reason, the group does not meet that minimum, the group will be canceled and registrants will be fully refunded and/or offered an alternative group option.**

    Pick Your Playgroup (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)

    Youth Shirt Size (required)

    Preschool or Childcare Program Your Child Attends**

    **Soccer Palz is offered as an enrichment program at numerous preschool programs around Dallas. We want to be sure it is offered at your school in the future!**

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


    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.


    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.

    Submit My Registration

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