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Kickball Registration Fall2023
Please verify reCaptcha before submitting the form.
*
Adult's First Name
This name will be used as the emergency contact.
*
Adult's Last Name
*
Adult's Email Address
*
Adult's Cell Phone Number
This number will be stored as the emergency contact phone number.
*
Registration Cost
Please Select One
Yes, I am a Shomrei Member.
No, I am not a Shomrei Member.
Pricing on or before August 1:
Shomrei Members - $90
Non-Members - $100
Pricing on or after August 2:
Shomrei Members - $105
Non - Members - $115
*
Child's First Name
*
Child's Last Name
*
Child's Birthday
*
Child's Current School 2023-2024
*
Child's Grade in School 2023-2024
Please Select One
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
3rd, 4th and 5th grade groups are full. We are no longer accepting reservations for those ages. Thank you.
*
Child's T-Shirt Size
Please Select One
youth small
youth medium
youth large
youth x-large
adult small
adult medium
adult large
Please click
here
for size information.
*
I have received a copy of the Waiver and Liability information via email and I agree to the terms stated there.
I have received a copy of the Waiver and Liability information via email and I agree to the terms stated there.
Please click
here
for the Waiver and Liability Information.
*
I have read and agreed to the Kickball 2023 Program Details.
I have read and agreed to the Kickball 2023 Program Details.
Please click
here
to read the Kickball 2023 Program Details.
*
I understand that I need to pick up my child on time. If I am more than 5 minutes late, I understand my credit card will be charged $15 as a late fee.
I understand that I need to pick up my child on time. If I am more than 5 minutes late, I understand my credit card will be charged $15 as a late fee.
*
I am aware SGS is only renting the fields and do not have access to bathrooms. The emergency contact will be called if my daughter needs to leave to use the bathroom.
I am aware SGS is only renting the fields and do not have access to bathrooms. The emergency contact will be called if my daughter needs to leave to use the bathroom.
Yes, I would like to sponsor a team for $250!
Yes, I would like to sponsor a team for $250!
Thank you for your sponsorship! We will be in touch with you.
Payment Total
Sat, January 18 2025
18 Teves 5785
Sat, January 18 2025 18 Teves 5785
