If you are human, leave this field blank.5-A-Side - Registration FormThe 5-A-Side Program is a new game play program that is open to players who are dedicated to improving their game, fitness, and gaining a competitive edge (by receiving extra game play opportunities inside a fast paced game scenario which involves lots of quick decisions, shooting, dribbling, passing, defending, and hard work). The 5-A-Side Program will take place at the following location, dates, and times for the selected age groups: Thursday Evenings @ 120 Metropolitan Drive, Liverpool, NY (12/21, 1/11, 1/18, 1/25, 2/1, 2/8, 2/15, & 2/29). 7:00pm: 2011-2013 Boys & Girls & 8:00pm: 2007-2010 Boys & Girls. *Fee is $95.00 per player for 8 weeks.Player's First Name: *Player's Last Name: *Player's Birth Year: *2011201220132007-2010 IS FULL. REGISTRATION IS CLOSED.Primary Email Address: *Secondary Email Address (Optional):Emergency Cell Phone Number: *Liability Waiver Form: *Click here to read the Assumption of Risk/Release of Liability WaiverBy checking this box, and submitting this form, I agree to the terms present in the above Assumption of Risk/Release of Liability Waiver.Captcha *For security verification, please enter any random two digit number. For example: 80Submit
If you are human, leave this field blank.5-A-Side - Registration FormThe 5-A-Side Program is a new game play program that is open to players who are dedicated to improving their game, fitness, and gaining a competitive edge (by receiving extra game play opportunities inside a fast paced game scenario which involves lots of quick decisions, shooting, dribbling, passing, defending, and hard work). The 5-A-Side Program will take place at the following location, dates, and times for the selected age groups: Thursday Evenings @ 120 Metropolitan Drive, Liverpool, NY (12/21, 1/11, 1/18, 1/25, 2/1, 2/8, 2/15, & 2/29). 7:00pm: 2011-2013 Boys & Girls & 8:00pm: 2007-2010 Boys & Girls. *Fee is $95.00 per player for 8 weeks.Player's First Name: *Player's Last Name: *Player's Birth Year: *2011201220132007-2010 IS FULL. REGISTRATION IS CLOSED.Primary Email Address: *Secondary Email Address (Optional):Emergency Cell Phone Number: *Liability Waiver Form: *Click here to read the Assumption of Risk/Release of Liability WaiverBy checking this box, and submitting this form, I agree to the terms present in the above Assumption of Risk/Release of Liability Waiver.Captcha *For security verification, please enter any random two digit number. For example: 80Submit
