Registration – Little Lions Club

Little Lions Registration

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- Step 1 of 2

School programs are held at your child's school.

Out of school locations are updated here.

Are You Registering as Part of a School? *

School Region *

What area is your child's school?

Williamsburg/Toano Schools *

Select your child's school

York/Poquoson Schools *

Select your child's school

Hampton/Newport News Schools *

Select your child's school

Gloucester County Schools *

Select your child's school

Fredericksburg/Stafford County Schools *

Select your child's school

Montgomery County Schools *

Select your child's school

Loudoun/Fairfax County Schools *

Select your child's school

New Kent/Quinton Schools *

Select your child's school

School Program Players Registering *

Out of School Players Registering *

Player Program *

Player 2 Program *

Player 3 Program *

Parent/Guardian Name *

Parent/Guardian's First Name *

Last Name *

Email *

Phone *

Player's Full Name *

Player Date of Birth *

Player Age Group *

Used for class selection.

Player's Age *

Select Class *

Choose your class by age group. 1x or 2x per week, hosted at the Quarterpath Rec Center each month.

Player 2 Full Name *

Player 2 Date of Birth *

Player 2 Age Group *

Used for class selection.

Player 2 Age *

Player 2 Class *

Choose your class by age group.

Player 3 Full Name *

Player 3 Date of Birth *

Player 3 Age Group *

Used for class selection.

Player 3 Age *

Player 3 Class *

Choose your class by age group.

How Did You Hear About Us? *

Medical Conditions or Allergies

Who Referred You?

Emergency Contact Name

First

Last

Emergency Contact Phone

Total For All Registrations:

$0.00

Pay on next page. (Note: Quarterpath Class is a Monthly Subscription).

Total For School Program:

$0.00

Pay on next page. (Note: School Program is a Monthly Subscription).

Welcome to the our soccer program! Your card will be charged monthly for your membership. Cancel anytime by contacting us.

Grand Total

$0.00

Total For all Registrations

Total For School Program

$0.00

Charged Monthly

Credit Card Payment *

Your transaction is securely processed by Stripe®.

I have read and understand the terms of General Release of Liability waiver. *

Acknowledgement *

I allow my child to be photographed during their event, and agree to the release form. *

Acknowledgement photo *

Signing below acknowledges you have read and agree to the waiver and its terms.

Signature *

Clear Signature

Sign using your finger or mouse.