Tots 2-6 Sign-up Form

Please fill out the consent form below completely. You can sign up for as many sports, programs and sessions that you would like. Once you submit this form you will be taken to the order page. Note: An "*" by a field means it is required.

TERMS OF PARTICIPATION

I, the parent/guardian of the registrant, understand and accept the condition that neither In The Net Sports Academy (ITNSA) nor anyone associated with ITNSA will assume any responsibility for accidents and medical or dental expenses incurred as a result of participation in an ITN program.  I certify that the applicant is in good health and able to participate in the physical activity of a vigorous program.  In the event of injury, ITNSA has my permission to obtain medical care.  ITNSA may also use my child’s picture for promotional purposes.

I have read and agree to the the terms. * Yes

Winter Programs Milford Thursday 9am - Soccer & Stuff 2-3yrs 11/1/10 - 12/17/10
Milford Thursday 10am - Soccer & Stuff 3-4yrs 11/1/10 - 12/17/10
Milford Friday 9am - Soccer 3-4yrs 11/1/10 - 12/17/10
Milford Friday 10am - Soccer 2-3yrs 11/1/10 - 12/17/10
Milford Thursday 9am - Soccer & Stuff 2-3yrs 1/3/11 - 2/11/11
Milford Thursday 10am - Soccer & Stuff 3-4yrs 1/3/11 - 2/11/11
Milford Friday 9am - Soccer 3-4yrs 1/3/11 - 2/11/11
Milford Friday 10am - Soccer 2-3yrs 1/3/11 - 2/11/11
Milford Thursday 9am - Soccer & Stuff 2-3yrs 3/7/11 - 4/15/11
Milford Thursday 10am - Soccer & Stuff 3-4yrs 3/7/11 - 4/15/11
Milford Friday 9am - Soccer 3-4yrs 3/7/11 - 4/15/11
Milford Friday 10am - Soccer 2-3yrs 3/7/11 - 4/15/11

Fall/Spring Programs Bedford Monday 4-5pm, 4-5 yr. olds 9/13/10 - 10/18/10
Bedford Monday 4-5pm, 6-7 yr. olds 9/13/10 - 10/18/10
Bedford Wednesday 9am - Soccer & Stuff 3-4 yr. olds 9/6/10 - 10/15/10
Bedford Wednesday 10-11am, 3-4 yr. olds 9/6/10 - 10/15/10
Milford Thursday 9am - Soccer & Stuff 2-3yrs 9/6/10 - 10/15/10
Milford Thursday 10am - Soccer & Stuff 3-4yrs 9/6/10 - 10/15/10
Milford Friday 9am - Soccer 3-4yrs 9/6/10 - 10/15/10
Milford Friday 10am - Soccer 2-3yrs 9/6/10 - 10/15/10
Amherst Friday 4-5pm, 4-5 yr. olds 9/6/10 - 10/15/10
Amherst Friday 4-5pm, 6-7 yr. olds 9/6/10 - 10/15/10
Bedford Monday 4-5pm, 4-5 yr. olds 5/2/11 - 6/10/11
Bedford Monday 4-5pm, 6-7 yr. olds 5/2/11 - 6/10/11
Bedford Wednesday 9-10am - Soccer & Stuff 3-4 yr. olds 5/2/11 - 6/10/11
Bedford Wednesday 10-11am, 3-4 yr. olds 5/2/11 - 6/10/11
Milford Thursday 9am - Soccer & Stuff 2-3yrs 5/2/11 - 6/10/11
Milford Thursday 10am - Soccer & Stuff 3-4yrs 5/2/11 - 6/10/11
Milford Friday 9am - Soccer 3-4yrs 5/2/11 - 6/10/11
Milford Friday 10am - Soccer 2-3yrs 5/2/11 - 6/10/11
Amherst Friday 4-5pm, 4-5 yr. olds 5/2/11 - 6/10/11
Amherst Friday 4-5pm, 6-7 yr. olds 5/2/11 - 6/10/11

Summer Camps Bedford, Sportsman Field 9-10:30am 2-4 yrs. 7/5/10 - 7/9/10
Merrimack, Reed Ferry 9-10:30am 2-4 yrs. 8/2/10 - 8/6/10
Bedford, Sportsman Field 9-10:30am 2-4 yrs. 8/2/10 - 8/6/10

Player's Name *

Gender * Male
Female

Player's Age/Grade *

Parent's Email *

Parent's First Name *

Parent's Last Name *

Parent's Phone *

Parent's Cell Phone

Parent's Address *

Parent's City *

Parent's State *

Parent's Zip *

Add to the Mailing List Yes
No

Emergency Contact Name *

Emergency Contact Phone *

How did you learn about ITNSA? *

Comment

Please let us know your
method of payment * Credit Card
Check

For security purposes,
please enter code from image *

If you intend to pay by check please print out this form before clicking on Submit and send it in with the check.

In The Net Sports Academy
P.O. Box 1652
Merrimack, NH 03054