Kickstarters Spring 2024

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Kickstarters Soccer/Kickstarters Elite Spring Session will be in small groups with approximately 12 children. Program will run for 7 weeks on Saturdays from March 9th to May 4th, 2024 (No class March 16th and April 27th). Classes will be held at Lakeside Early Learning (Old St. Michael's school). Cost is $110 for Kickstarters and $135 for Kickstarters Elite (5-7 years old) and includes a Kickstarters T-shirt.

Email *

Child's Name (First and Last)

Child's Birthdate

YYYY

T-shirt size

Youth Small

Youth Medium

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Class Times

18 months-2 1/2 years- 9:00-9:35

2-4 years- 9:40-10:20 (FULL)

2-4 years- 10:30-11:10 (FULL)

2-4 years -11:20-12:00

2-4 years- 12:10-12:50

3-4 years- 1:00-1:45

4-5 years- 2:00-2:55 (FULL)

5-7 years- 3:00-3:55 (FULL)

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Parent's Name (First and Last)

Parent's Address

Parent's Phone Number

Email Address

Emergency Contact (Name and Phone Number)

Insurance Company

Hospital

St. Lukes

Essentia

Other:

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Allergies/Medical History

We would like to use pictures from the sessions (i.e. action pictures) on the Kickstarters Website. Do you consent to allow your child(ren)’s photo(s) to be used?

Yes

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Payment Choice

Venmo (Sarah-Wilmot-4)

Check (Kickstarters Soccer-804 Valley Dr. Duluth, MN 55804)

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A copy of your responses will be emailed to the address you provided.

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