Palisades Girls Summer Soccer Program

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

This form is for the Summer Soccer program that runs from June 22 to August 4th on Tuesday and Wednesday evenings for female players. You MUST REGISTER if you plan to attend.

Middle School Age Players: 6pm - 7.15pm
High School Age Players: 7.15pm - 9pm

There is a break week, the week of July 19th.

The program is run by the High School Girls Soccer Coach and Staff.

The cost of this 6 week program for Palisades District students is a donation to the booster club of up to $40 / player to support High School soccer this coming Fall season. For out of district, to help contribute to field and maintenance costs, the cost for the program is $60. For Palisades Middle or High School students the fee is optional to encourage participation.

Any questions about this form please email: thoughton@palisadessd.org.

Once your registration has been confirmed by a return email PLEASE mail all checks PAYABLE to "Palisades Sports Boosters" to the following address by June 1st:

Palisades High School Athletics
Attn: Timothy Houghton
35 Church Hill Rd
Kintnersville, PA 18930

What is your player's status: *

Palisades School attendee (optional donation $40)

Palisades School District Student but does not attend Palisades ($40)

Out of District Student ($60)

Select your age group for the 21-22 school year *

6th 7th 8th Grade

9th 10th 11th 12th Grade

Please complete your player's name *

Please complete your player's date of birth *

YYYY

Please add the best email address for communication. This address will be used for follow up and in the event a session is cancelled due to weather.

Please add the best telephone number for communication. This will be used in the event of an emergency. *

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of Palisades School District. Report Abuse

Forms