Little Kickers and J-League 

Information and Registration 

Please fill out the form completely and submit Upon submitting the registration online, you will receive confirmation from which you will need to mail in with payment!

 CLICK HERE FOR A PRINTABLE COPY

Last Name:
First Name:
Phone:
Cell Phone: Rosters and schedules will be posted online and emailed out. They will NOT be sent via postal mail. Please submit an active email address. Thank you.
Sex:
Age:
DOB:
School:
Grade:
T-shirt:

CLICK HERE FOR A PRINTABLE COPY

E-mail:

(NOTE: you must provide an active email if you wish to receive information from JSSC regarding the program. All information will be provided on the www.jacksonselect.org website as well.)

Address:
City: State: Zip:
Parents:
League:  Little Kickers:  Pre-Kindergarten Division ($45) 

Little Kickers:  Kindergarten Division ($45) 

The J-League ($65)   

(Multi-family discounts are available. See the Little Kickers page for more information..)

In order for Kindergarteners  to qualify for the J-League, they must have a solid amount of playing experience. Refer to the Little Kickers Page for further explanation. Please list the past programs they have participated in:

We need Volunteer Coaches this season, will you be interested?   Yes  No

Please consider helping out. If you have some knowledge of the game, you will be given instruction regarding practice sessions and game help.

Requests:  (We try to honor all requests, but there is no guarantee) We cannot honor time requests. 

 

Click here to send your information. Payment information will follow. 

Please do not submit the registration until you are fully completed. 

If you realize an error was made, please email your correction. Thank you.


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Copyright © 2008 [Jackson Select Soccer Club]. All rights reserved.
Revised: May 18, 2008