SATURDAY CLINIC APPLICATION

Kids Interested In Developmental Sports (KIIDS)

SATURDAY CLINIC APPLICATION

STARTS DECEMBER 10TH

CALL CARRIE OR RICK ROMANSKI @ 242-8627

WAIVER FORM to be filled out first day in person

WINTER CLINIC#1 DEC 10, 17 JAN 7, 21, 28

PRE-SPRING CLINC#2 FEB 11, MARCH 3, 10, 17, 24

CHILDS NAME___________________________ AGE_____

PARENT NAME__________________________

HOME PHONE___________________

CELL PHONE____________________

EMERGENCY CONTACT ______________________ #__________________

E-MAIL_______________________________

ALLERGIES____________________________

PEE-WEE CLINIC (AGES 4 to 5.5) 10:45 to 11:30

BRONZE CLINIC (AGES 5.5 to 7) 10:00 to 10:45

EACH CLINIC WILL RUN FOR FIVE WEEKS

DATES ARE LISTED ABOVE

EACH SESSION WILL BE ABOUT 40 MINUTES

EACH CLASS WILL BE LIMITED TO 24 PLAYERS

COST: $75.00 PER CLINIC