Registration


This registration form is exclusive for Super Kickers Inc. programs, which include After School and Holiday Mini Camp. If your child has already participated in one of these programs, please login to your account on the link above. If not, complete the form below. *Note: The Summer Camp, Soccer, Ballet, and Acrobatics programs use a different system. Therefore, if you have a login for those programs, it will not apply here. In that case, please, create an account by completing the form below.

*   denotes required fields

Referral Information
Family Information
Where do you live?
Additional Info
Contact #1
How Can We Contact You?
Portal Access (your email is your login)
(Emails are kept confidential)
Contact #2
How can we contact you?
(Emails are kept confidential)
Student #1
(format=mm/dd/yyyy)
Additional Info

After choosing how many days a week you need, please register your child for 2 classes per day you chose according to your child's age group.

Enroll in Classes
Select Another Class
Required Policies and Agreements
I Agree to All of the Above
Questions or Concerns
Payment Information
Please fill out ONE of the following Payment Methods
Credit Card
eCheck/Bank Draft
(Your name on your bank statement)
(9-digit number)