2020 Preschool Soccer-Registration deadline March 11

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$35 fee if participant does not have a Parks and Recreation jersey. $20 fee if participant has a West Branch Parks and Recreation jersey. Practices and games will be 5:30 or 6:30 Monday April 6, Monday April 13, Monday April 20, Monday April 27, and May 4(makeup date only). Contact Melissa Russell at 319-930-0393 or melissa@westbranchiowa.org for more information.

Email *

Child's Name *

Child's Age on April 6th *

Parent/Guardian Name(s) *

Parent/Guardian Phone Number(s) *

Parent/Guardian Email(s) *

Parent/Guardian Address *

Volunteer coaches are needed! All coaches will need to have a background check completed every year. *

Yes I would love to coach! Sign me up! I can handle a team by myself if necessary

Yes, I would be willing to coach but I would need a second coach because I will miss a week

Yes, if really necessary

Maybe

Not at this time

Other:

My Child needs a Park and Recreation reversible jersey *

Small($35 registration fee)

Medium($35 registration fee)

Large($35 registration fee)

Adult($35 registration fee)

We already have the Park and Recreation Reversible Jersey($20 registation fee)

Other:

Payment

Before continuing please pay all required fees. https://www.govpaynow.com/gps/user/plc/a001l4

Payment confirmation is required. Please enter payment confirmation number or receipt number if payment was made in the West Branch City Office. *

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