Fall 2025 Soccer Class Registration

Child #1 *

First Name

Last Name

Child #2 (if applicable)

First Name

Last Name

Choose Sessions *

KINDER / 1ST GRADE - MONDAYS 1:30-2:30 PM

2ND - 5TH GRADE BOYS - THURSDAYS 3:15-4:15 PM

4TH - 6TH GRADE GIRLS - MONDAYS 3:15-4:15 PM (postponed til winter)

Parent Name *

First Name

Last Name

Phone *

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Waiver of General Liability *

By checking this box, I am releasing Patrick Ianni, Pristine Vibrations LLC, and their staff from any liability for my child's participation in any soccer or non-soccer related activities that take place prior, during or after soccer class. I also understand that there is an inherent risk in playing sports.

Weather & Refund Policy *

We know life (and weather) can be unpredictable, but your spot in class is reserved just for you. For that reason, all registrations are non-refundable. In the rare event we need to cancel due to weather or other circumstances, we’ll do our best to provide a makeup session or alternative activity. This approach is standard for most youth sports programs and helps us keep our classes running smoothly for everyone. Thank you for understanding and supporting the program!

Payment Method (Friendly Reminder that Early Bird Pricing runs ends August 15th) *

Cash/Check

Zelle

Venmo

Parent Signature

First Name

Last Name