Kids Sports Club July 14

Kids Sports Club

Date: Thursday, July 14

Time: 9:30 a.m. – 11:15 a.m.

Location: Football Field

Sport: Flag Football

An all-inclusive program for kids with special abilities. Join Fox Valley Autism Treatment Program and their experienced behavioral treatment staff as they work to target: following directions, gross motor skills, having fun and making new friends. Each week will feature a different sport with two sessions offered by age.

Session 1 - 9:30 – 10 a.m.

Group 1 - Ages 2-4

Session 2 - 10:30 – 11:15 a.m.

Group 1 - Ages 5-11

Group 2 - Ages 12-17

Parent's Name*

First Name

Last Name

Parent's Cell Phone*

Email*

Session 1 - 9:30-10 a.m. (Ages 2-4)

Please enter the number of children attending the program that are ages 2-4

FREE

Quantity:

Session 2 - 10:30-11:15 a.m. (Ages 5-17)

Please enter the number of children attending this session who are ages 5 & Up

FREE

Quantity:

(1) Child's Name

First Name

Last Name

(1) Child's Age

(2) Child's Name

First Name

Last Name

(2) Child's Age

(3) Child's Name

First Name

Last Name

(3) Child's Age

(4) Child's Name

First Name

Last Name

(4) Child's Age

(5) Child's Name

First Name

Last Name

(5) Child's Age