JK Elite Application 2019
JK Elite
Sponsored by
Jersey Knights Soccer Club
Online Registration is now Available!
Name:___________________________
Address: _________________________
TownZip:_________________________
Birth: ____________________________
Email:____________________________
Outdoor Location: Jersey Knights Soccer Complex, 2186 Route 27, Franklin Township 08873
Indoor Winter Location: St. Teresa's Gym, Fox Road, Edison (Left off of Woodbridge Avenue going towards Highland Park)
Outdoor Dates: Friday’s Starting in September Time: 6:30 - 7:45 PM
Indoor Dates: Friday’s Starting in January Time: 6:00 - 7:15
Cost: $400.00
Online Registration is available or Mail your application to:
JK Elite
993 Shepard Avenue
North Brunswick, NJ 08902
Make Checks payable to: Jersey Knights Soccer
Medical Information
Name: _____________________________ Date: ___________
In Case of a medical emergency contact the following person/s.
Emergency Contact #1 : ___________________________ Phone: ______________
Emergency Contact #2 : ___________________________ Phone: ______________
List any medical concerns we need to be aware of—Medications, allergies, conditions, etc.: ____________________________________________________________________
____________________________________________________________________