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Farmingville & Brentwood

 


2016 - 2017 WINTER
GOALKEEPER TRAINING

Characteristics


 Profesional and USSF licenced coaches.
 Sessions: One (1) session a week for ten (10) weeks.
 Sessions: December -March (Starting December 7th)
 Deposit: $100.00 Non Refundable.
 Small Groups
Beginners, Intermediate and Advanced Groups


PRINTABLE APPLICATION (PDF 350KB)
Use printable application if paying with Credit Card

 

ON-LINE APPLICATION

A. *Choose by clicking on the blank circle to register:
All fields marked with * are required fields.

Facility Day Time Cost
Farmingville
Wednesday 8:00 – 9:00 pm $ 195.00

 

B. Fill out the following information:

Players Name*:
Birth Year:    
Club/Team:  
Division:  
Parent/Guardian*: This person is responsible for full payment, waivers, paper work, team first aid kit, ice packs, emergency cell phone, etc.
Address*:  
City*:
Zip*:
Phone:    Work*: Home: Cell:
E-mail address*:
Coach: Name*:   Phone*:
 
 
C. TERMS & CONDITIONS:

I certify that the above information is correct and that my son or daughter is fully capable to participate in all activities at KK Athletics Inc. & Brentwood Indoor Sports, Inc. In case of emergency, I give full responsibility to all coaches and counselors to give any medical treatment necessary. I take full responsibility for any accident or injuries that may occur during activities at KK Athletics Inc. & Brentwood Indoor Sports, Inc. I hereby release, discharge, and covenant not to sue KK Athletics Inc. & Brentwood Indoor Sports, Inc.

*I have read and fully understand all of the above: Yes No

WAIVER accepted (Waiver document - PDF 85KB): Yes No

 
 

D. *Way of Payment

Send this application and $100 deposit (non-refundable deposit). Please select the way of payment:
 
Way of Payment Farmingville Brentwood
Cash
At our Farmingville location, at least one week after sending this application:

755 Horseblock Rd.
Farmingville, NY 11738
At our Farmingville location, at least one week after sending this application:

181 Second Ave.
Brentwood, NY 11717
Check

Make checks payable to:
Brentwood Sports LLC.

Send check to:

KK Athletics Indoor Sports-Farmingville
755 Horseblock Rd.
Farmingville, NY 11738

Make checks payable to:
Brentwood Sports LLC.

Send check to:

KK Athletics Indoor Sports-Brentwood
181 Second Ave.
Brentwood, NY 11717

Credit Card
Mastercard, AMEX, Visa or Discover at our locations

Print PDF
Mastercard, AMEX, Visa or Discover at our locations

Print PDF
  Tel: 631-736-2511 Tel: 631-617-5866

All fields marked with * are required fields.

 

 

KK ATHLETICS Indoor Sports , New York • Farmingville Tel.: 631-736-2511 • Brentwood Tel: 631-617-5866
E-MAIL: KKAthletics@aol.com  •  Website by: W-link