NUTMEG - All genders - 12-15 year olds - Wednesdays
Please read this NUTMEG's waiver:
https://nutmegsoccer.org/waivers/

Then proceed to fill out the form below.
Note: you don't need to sign our waiver right now. We'll provide you a hardcopy of it to signup in the first session your bring your child to our program.

Details of this program are here:
https://nutmegsoccer.org/wednesdays_12plus/

Not sure how fill out this form please email us to:
nutmeg.soccer.info@gmail.com
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First_name_of_Parent/Guardian *
The person with whom NUTMEG will communicate with to confirm child's registration for this program
Last_name_of_Parent/Guardian *
Email_of_Parent/Guardian *
Telephone_of_Parent/Guardian *
Please use the format ###-###-####x##### and preferably provide cell phone to contact in case of any emergency
First_name_of_child *
Last_name_of_child *
Date_of_birth_of_child *
MM
/
DD
/
YYYY
Gender_of_child *
These demographics may help us to plan funding applications
Your_home_postal_code
Example M5V3A7. These demographics may help us to plan funding applications
Your_child's_school_postal_code
Example M5V3A7. These demographics may help us to plan funding applications
Do you identify your family with one or more of these populations? *
These demographics may help us to plan funding applications
Required
How_did_you_hear_about_NUTMEG? *
These demographics may help us to plan funding applications
Required
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