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Farmingville & Brentwood

 


2012 -2013 WINTER SKILLS & TRAINING

Characteristics
      • Professional and USSF licensed coaches
      • Sessions: December - March (STARTING Dec 3rd)
      • Sessions: One (1) session a week for ten (10) weeks.
      • Deposit: $100.00  Non Refundable.
      • Small Groups
      • Beginners, Intermediate and Advanced Groups


PRINTABLE APPLICATION HERE (PDF 150KB)

 

WINTER SKILLS 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 Ages Time Days Cost
Group A /Farmingville U6, U7, U8 6:00 Monday $ 195.00
Group A /Brentwood U6, U7, U8 5:00 Monday
Group B /Farmingville

U9, U10, U11

6:00 Wednesday
Group B /Brentwood

U9, U10, U11

5:00 Wednesday
Group C /Farmingville

U12, U13, U14

7:30 Thursday

 

B. Fill out the following information:

Players Name*:
Age*:
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 $100.00 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

SOON ON WEBSITE!
Mastercard, AMEX, Visa or Discover at our locations

SOON ON WEBSITE!
  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