1. Sign Up

Class Information

Location: Pasadena : Victory Park Gym Day: Saturday Class: Soccer 1 (5 - 6 yrs) Time: 4:20-5:05pm Dates: 11/17/18 — 12/15/18 Meetings: 4 Class Price: $58.00

Student Information

*First Name:

Last Name:

Date of Birth: (mm/dd/yy)

Parent/Guardian Contact Information

First Name: Address/P.O.Box: City:

Last Name: Suite or Apt.: (optional)

State: ZIP/Postal Code: Country: Email Address:

Phone #1:

ext.

Phone #2: (optional)

ext.