2018 Fall SEASON STARTS

MONDAY, September 10TH!

  • When: Mondays, September 10th - October 29th (8 Sessions)

  • Time: 4pm-5pm

  • Where: 600 West Montrose Harbor Drive, Chicago, IL 60640 (W Montrose Ave/N Simonds Dr/W Montrose Harbor Dr)

  • Eligibility: Ages 5-12 (older/younger please inquire)

  • $125 per child, for 8 sessions

 

Please complete the form below

(Payment will be requested upon completion of registration)

Athlete Information
$125 per child for 8 sessions
Players Name *
Players Name
Address *
Address
Birthday *
Birthday
Sex
Does your child have a name they prefer to be called by?
Parent / Emergency Information
Are you new to the TOPSoccer Program? *
Parent Name *
Parent Name
Cell Phone *
Cell Phone
Home Phone
Home Phone
Emergency Contact *
Emergency Contact
(not parent or guardian attending practice)
Emergency Contact Phone *
Emergency Contact Phone
Health History
All information listed below is OPTIONAL and NOT required. Please list what would be pertinent to the safety of your child & soccer only. Thank you.
wheelchair, walker, et al
Allergies, asthma, seizures, et al

Medical Release Form (PDF) and Payment will be asked for remittance on registration confirmation page.