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Farmingville & Brentwood

 


WINTER SKILLS & DEVELOPMENTAL TRAINING

Characteristics
      • Professional and USSF licensed coaches
      • Sessions: December - March (STARTING Dec 2nd)
      • Sessions: One (1) session a week for ten (10) weeks.
      • Deposit: $100.00  Non Refundable.
      • Small Groups
      • Beginners, Intermediate and Advanced Groups


PRINTABLE APPLICATION (PDF 150KB)
Use printable application if paying with Credit Card

 

ON-LINE APPLICATION

All fields marked with * are required fields.

A. *Choose one of the following options by clicking on the blank circle:

 
Group/Location Birth Year Time Days Cost
Group 1 /Farmingville U6, U7 5:00 Tuesday $ 195.00
Group 2 /Farmingville

U8, U9

6:00 Wednesday
Group 3 /Farmingville

U10, U11, U12

7:00 Monday
Group 4 /Farmingville

U10, U11, U12

5:00 Wednesday
Group 5 /Farmingville

U13, U14, U15

8:00 Wednesday

 

B. Fill out the following information:

Players Name*:
Birth Year:    
Club/Team:  
Division:  
Parent/Guardian*: This person is responsible for full payment, waivers, misc. paper work, 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

Please send this application and $100 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