Rivermont Neighborhood Youth Soccer Clinic Registration Form

This activity is designed to strengthen ties in the RIvermont Neighborhood. Please encourage other Rivermont Neighbors to sign up. Individuals living outside the neighborhood will be welcome if space permits.

I am a Rivermont Neighbor I am not a Rivermont Neighbor but would like to participate if space allows.

Parent or Guardian Name

This address will receive a confirmation email

Phone

Address

Child's Name

T-Shirt Size**

Shoe Size***

Grade in School

Second Child's Name

T-Shirt Size

Shoe Size***

Grade in School

How did you hear about this program?

Tell us about ways you would like to gather with your Rivermont Neighbors:

** Registrations received by February 29, 2024, will be given a t-shirt. Registrations received after February 29, will receive a t-shirt on a first-come, first served basis from the remaining supply.
***We have some gently used soccer cleats, so let us know the size and we will try to bring some options.

Description

This activity is intended to strengthen community ties for kids living in the Rivermont neighborhood. If your family lives or works in the RIvermont neighborhood, please fill out this form and click submit. Rivermont neighbor registrations received by February 29, will be guaranteed a t-shirt. Rivermont neighbor registrations received after February 29 will receive a t-shirt on a first-come, first served basis from the remaining supply.

Families living outside the Rivermont Neighborhood will be welcome to play as space allows.

Saturdays from 10:30am to 11:30am, March 30 - April 27, 2024. LOCATION -Kingston Field - near the intersection of Early Street and Dinwiddie.

SPONSORS:
•Liberty University Men's Soccer Team
*University of Lynchburg, Women's Soccer
•Sports Outreach
*LAYSI - Lynchburg Area Youth Sports Initiative
•In Rivermont, For Rivermont - Rivermont Evangelical Presbyterian Church

Rivermont Neighborhood Youth Soccer Clinic Registration Form

Description

Please Fix the Following