First Kicks is all about having fun playing soccer. It is an excellent program to introduce

1. First Kicks is all about having fun playing soccer. It is an excellent program to introduce your child to the wonderful sport of Soccer. The program allows children aged 2.5 to 5 years to learn about Soccer through fun and exciting games such as: Traffic Lights Soccer Potato Sleeping Giants Classes: 2.5 -3 year olds 3-4 year olds 4-5 year olds 5’s advanced Locations: Maplewood and Short Hills First Kicks Spring 2010 . We love Soccer!!!

2. Registration Form for First Kicks First Kicks Soccer Coach Nathan is currently in his eighth year coaching Soccer to children 3,4 and 5 years of age. First Kicks LLC 56 Larkin Circle West Orange, NJ 07052 201-993-7865 Maplewood- Maplecrest Park 2.5 - 3 year old classes Fee = $130 (30 mins) FK 1: Mondays 9am (April 19,26 , May 3,10,17,24 , June 7,14) FK 2: Tuesdays 9am (April 20,27 , May 4,11,18,25 , June 1,8) FK 3: Thursdays 9am (April 15,22,29 , May 6,13,20 , June 3,10) 3 - 5 year old classesFee = $150 (45 mins) FK 4: Tuesdays 10am / 4pm (April 20,27 , May 4,11,18,25 , June 1,8) FK 5: Wednesdays 1pm / 4pm (April 21,28, May5,12,19,26, June2,9) FK 6: Thursdays 10am / 1pm (April 15,22,29 , May 6,13,20 , June 3,10) FK 7: Saturdays 9am (April 17,24, May 1,8,15,22 , June 5,12) FK 8: Saturdays 10am (April 17,24, May 1,8,15,22 , June 5,12) Advanced 5 year old classesFee = $150 (45 mins) FK 9: Mondays 4-5pm (April 19,26 , May 3,10,17,24 , June 7,14) FK 10: Saturdays 11am (April 17,24, May 1,8,15,22 , June 5,12) Please state day and time of program choice: FK____________ Time______________ To apply * Fill out the application form * Make check payable to: First kicks LLC * Mail to : First Kicks 56 Larkin Circle. West Orange, NJ 07052 Tel: 201-993-7865 www.preschoolsoccer.com Child’s Name: ________________________________ Home Address: ___________________________________ City: ______________________________ State/Zip: ______________________________ Birthday(MM/DD/YY):_______________AGE:________ Parent # 1:__________________________________ Telephone (H):___________________________________ Telephone (c):__________________________________ E-mail:_________________________________________ Parent # 2:___________________________________ Telephone (H):___________________________________ Telephone (c):___________________________________ E-mail:__________________________________________ Child’s Health Insurance:____________________________ Company:________________________________________ The above applicant is in good health and has my permission to participate in this program. In case of emergency, I grant permission for my child to be given emergency treatment at a local hospital. I hereby release Nathan Davies from all liabilities from any injury or illness incurred at First Kicks. Parent Signature _____________________________ Date_______________________________________ Short Hills-Short Hills Park FK 11: Tuesdays 1pm (April 20,27 , May 4,11,18,25 , June 1,8) 3-5’s FK 12: Weds 9am (April 21,28, May5,12,19,26, June2,9) 2.5 - 3’s *In order to do the advanced 5 year old class, you must first have completed one 6 or 8 week term of First Kicks Soccer classes* *Parent/child participation is required in the 2.5 - 3 year olds classes