Little Kickers Program

Join Little Kickers!

Where the soccer journey begins! Sign up your little one for fun, games, and their very first steps onto the field. Let's play!

Little Kickers Registration | Southern States Soccer Club

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Registration Successful!

Thank you for registering. We've received your information and will contact you with tryout details shortly.

Parent / Guardian Info

First, let's get your contact details 👋

Parent / Guardian Name *

Please enter your name

Email Address *

Please enter valid email address

Phone Number *

Please enter phone number

1 About Your Little Kicker

Tell us about your little superstar! ⭐

First Name *

Please enter first name

Last Name *

Please enter last name

Birth Year *

Please select birth year

Gender *

Please select gender

School Year (as of Aug 30, 2026) *

Please select school year

2 Your Second Little Kicker

Registering more than one from the same family? Awesome! 👨‍👩‍👧‍👦

First Name *

Please enter first name

Last Name *

Please enter last name

Birth Year *

Please select birth year

Gender *

Please select gender

School Year (as of Aug 30, 2026) *

Please select school year

3 Your Third Little Kicker

The more the merrier! 🎈

First Name *

Please enter first name

Last Name *

Please enter last name

Birth Year *

Please select birth year

Gender *

Please select gender

School Year (as of Aug 30, 2026) *

Please select school year

Emergency Contact

Just in case we need to reach someone else

Emergency Contact Name *

Please enter emergency contact name

Emergency Phone *

Please enter emergency phone number

Relationship to Player *

Please enter relationship

Additional Information

Anything else we should know? (Optional)

Medical Conditions or Allergies

This information helps us ensure player safety during tryouts

Additional Comments

I have read and agree to the Liability Waiver and Terms. I understand that participation in soccer activities involves inherent risks and I assume all such risks on behalf of my child. *

You must agree to the liability waiver