Soccer Shots Registration Fee: $140 To complete registration you must proceed to the Soccer Shots website after submitting this form. "*" indicates required fields Student Name* First Last Grade*Select GradeK1234Parent Name* First Last Email* Phone*Emergency Contact Number*Student Shirt Size*Select SizeYouth SmallYouth MediumYouth LargeSmallMediumLargeX LargeXX LargeAdditional InformationPermission and Acknowledgement:* By checking this box I acknowledge that all information provided to Summit Academy on the Student and Family information form including medical information, emergency contact, and pick-up authorization, is accurate and up-to-date. All permissions given to Summit Academy staff through my checking the box on the Student and Family Information form also pertain to Clubs and After School Activities staff.PhoneThis field is for validation purposes and should be left unchanged. Δ Back to Clubs
