Please enable JavaScript in your browser to complete this form.

- Step 1 of 10

Please select the program you're registering for: *

Little Kickers (Ages 4-6)
Junior Sports Explorers (Ages 7-9)
Multi-Sport All-Stars (Ages 10-12)
Soccer Stars Academy (Ages 7-12)

Name *

First

Last

Date of Birth *

Age *

Gender *

Parent/Guardian Name *

Parent/Guardian Phone Number *

Email Address *

Emergency Contact Name *

Emergency Contact Phone Number *

Relationship to Participant *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Does your child have any medical conditions, allergies, or dietary restrictions? *

Is your child currently taking any medications? *

Does your child require an EpiPen or other emergency medication? *

Medical Consent

In the event of a medical emergency, I authorize the staff of Junior SportZone to seek medical treatment for my child. I understand that every effort will be made to contact me or the emergency contact person.

I Agree

Parent/Guardian Signature *

Date *

Photography Consent

I grant permission for Junior SportZone to photograph or video my child during the program. These images may be used for promotional materials, website content, or social media.

I Agree

Parent/Guardian Signature *

Date *

Liability Waiver

I acknowledge that participation in sports activities involves inherent risks. I agree that Junior SportZone and its staff will not be held responsible for any injury, loss, or damage sustained during the program, except where such injury arises from gross negligence.

I Agree

Parent/Guardian Signature *

Date *

of Name program

Code of Conduct Agreement

I agree that my child will adhere to Junior SportZone’s code of conduct, which promotes respect, teamwork, and fair play. Any inappropriate behavior may result in suspension or removal from the program.

I Agree

Parent/Guardian Signature *

Date *

In the event that a program day is canceled due to weather conditions or other unforeseen circumstances, the session will be rescheduled. No refunds will be issued if a participant is unable to attend the rescheduled session.

I agree to the Terms and Conditions

Parent/Guardian Signature *

Date *

o All program fees are non-refundable unless the program is canceled by Junior SportZone.
o In the event of a weather-related cancellation, the session will be rescheduled, and no refunds will be provided if the participant cannot attend the new date.
o A confirmation email with program details will be sent upon successful registration.
o Junior SportZone reserves the right to change program dates or venues, with appropriate notice to parents/guardians.

I acknowledge and accept the weather-related cancellation policy

Parent/Guardian Signature *

Date *

Payment Method *

Cardholder Name *

Card Number *

Expiry Date *

CVV *

Program Fee: *

$0.00

Please enable JavaScript in your browser to complete this form.

- Step 1 of 10

Please select the program you're registering for: *

Little Kickers (Ages 4-6)
Junior Sports Explorers (Ages 7-9)
Multi-Sport All-Stars (Ages 10-12)
Soccer Stars Academy (Ages 7-12)

Name *

First

Last

Date of Birth *

Age *

Gender *

Parent/Guardian Name *

Parent/Guardian Phone Number *

Email Address *

Emergency Contact Name *

Emergency Contact Phone Number *

Relationship to Participant *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Does your child have any medical conditions, allergies, or dietary restrictions? *

Is your child currently taking any medications? *

Does your child require an EpiPen or other emergency medication? *

Medical Consent

I Agree

Parent/Guardian Signature *

Date *

Photography Consent

I grant permission for Junior SportZone to photograph or video my child during the program. These images may be used for promotional materials, website content, or social media.

I Agree

Parent/Guardian Signature *

Date *

Liability Waiver

I Agree

Parent/Guardian Signature *

Date *

Code of Conduct Agreement

I Agree

Parent/Guardian Signature *

Date *

I agree to the Terms and Conditions

Parent/Guardian Signature *

Date *

I acknowledge and accept the weather-related cancellation policy

Parent/Guardian Signature *

Date *

select

Payment Method *

Cardholder Name *

Card Number *

Expiry Date *

CVV *

Program Fee: *

$0.00

Online Registration Form

Medical Consent

Photography Consent

Liability Waiver

Code of Conduct Agreement

Medical Consent

Photography Consent

Liability Waiver

Code of Conduct Agreement

Contact

Address

Explore

Let's Talk!

Newsletter