Games Start at 5:30 P.M. at Goals Indoor Sports!

Mondays Evenings Feb-March

Games start at 5:30 p.m. at Goals Indoor Sports!

HappyFeet soccer leagues and classes are a great way to introduce your little ones to the game of soccer! Your child will develop coordination, balance, and confidence—all while having a ton of fun!

Age Divisions:

3-year-old division 4 -year-old division

HappyFeet Minis (children ages 18-months to 2.5 years)

Fees (Registration Deadline): Jan 21st

HappyFeet League: $75

HappyFeet Minis: $65

Questions?

Mail paper registration and check to:

HappyFeet Springfield

3604 N Peoria Road

Springfield, IL 62702

______

Registration for HappyFeet Winter League

Child’s Name: ______Age: ______T-Shirt Size _____ Birthday:______Parent’s Name:______

Phone:______Age Division:______

Email:______(Please print, league updates are emailed!)

School your child attends:______

Please submit this form with payment (make checks payable to HappyFeet with child’s name in the memo line).

Method of Payment: Check #______Card Number: ______

Exp:______/______CVC code on card ______

Billing Address:______

Waiver/Indemnification: As a parent or legal guardian of the child named herein, I hereby represent that the child has been examined by a pediatrician and is physically fit to participate in HappyFeet. I understand there are inherent risks in participating in this athletic program. I hereby accept responsibility for and agree to pay any and all costs of medical treatment resulting from any injury suffered by my child as a result of his/her participation in HappyFeet. I further agree to indemnify and hold harmless Happy Soccer Feet Indianapolis, Inc. its agents, servants, employees, and/or representatives from any and all liability, damage, cost or expense arising out of my child’s participation, of every kind and nature, in HappyFeet events. In the event that I cannot be reached in an emergency, I hereby give permission for care to be administered by a qualified HappyFeet, Inc. staff member, EMT, physician/staff of a hospital, or any other qualified individual to provide any medical treatment deemed necessary for my child. HappyFeet may use photographs and/or videos of my child while participating in HappyFeet sponsored activities.

Parent’s Signature: ______Date:______