Reflex Recreation Center(勵健体育会) Indoor Soccer Class Registration Form
This is form is for new students to register for Reflex Recreation Center ⚽️ SATURDAY Indoor Soccer training classes at New Utrecht High School. After you fill out the registration form, our staff will follow up with you within a week. Welcome students age 4+ .

Location
New Utrecht High School 
1601 80th St, Brooklyn, NY 11214
Indoor Gymnasium

Date 
04/13/2024 - 06/08/2024
4/13, 4/27, 5/4, 5/11, 5/18, 6/1, 6/8 
(Total 7 classes )

No class 
4/20, 5/25

Time
Saturday
Group A:   02:15 pm - 04:00 pm
Group B:   04:00 pm - 05:45 pm

Fee
1) $280/7 classes 
 - No make-up classes except for medical reason ( need doctor's note)
- discount package only available when you register before the season starts

2) $45/single class 
- join anytime during the season

Visit the following page for class information
http://www.reflexrecreation.org/index.php?s=/Home/Custom/show/cid/11.html
Spots are limited. First come, first serve. Seat is not reserved until payment is made in full.

👉 Class Preparation Memo 上課準備及須知 ⬇️
https://drive.google.com/file/d/1zc0CkF6O6M55gX1vlrCVMpoW1MDHo3KD/view?usp=drive_link

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Last Name *
Student's information
First Name *
Student's information
Email *
Address *
Gender *
School Name *
Date of Birth *
MM
/
DD
/
YYYY
Age *
Select the training season *
Class Selection
INDOOR Soccer training at New Utrecht High School is on Saturday only. All student who has never taken soccer class before please select Group A only.  
Group A: 02:15pm - 04:00pm
Group B 04:00 pm - 05:45 pm
Saturday
Clear selection
Parent/Guardian 1 - First Name *
Parent/Guardian 1 - Last Name *
Parent/Guardian 1 - Relationship *
Parent/Guardian 1 - Phone Number *
Parent/Guardian 2 - First Name
Parent/Guardian 2 - Last Name
Parent/Guardian 2 - Relationship
Parent/Guardian 2 - Phone Number
Emergency Contact Information 1 - First Name *
Alternate Pickup/Release
Emergency Contact Information 1 - Last Name *
Emergency Contact Information 1 -  Relationship *
Emergency Contact Information 1 -  Phone Number *
Does your child have any known health conditions that would make them unsuitable for participating in rigorous physical activities, training, or gym class?
 *
Considering both physical and mental conditions. 
Is there any remark / special instruction you would like to share regarding your child's health conditions?
Does your child have any allergy? *
Required
If YES, Please Explain the allergy
Submit
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