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Will you be prepaying for all clinics? ($225)
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Player Registration #2
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2nd Emergency Contact/Phone Number/Relationship to Junior
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Date of Birth
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Will you be prepaying for all clinics? ($225)
Yes
No
Will your Junior be a drop in? If so, please include the date of their attendance below.
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Player Registration #3
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Child's Name
*
Emergency Contact/Phone Number/Relationship to Junior
*
2nd Emergency Contact/Phone Number/Relationship to Junior
*
Cell Phone Number
*
Date of Birth
*
Will you be prepaying for all clinics? ($225)
Yes
No
Will your Junior be a drop in? If so, please include the date of their attendance below.
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Player Registration #4
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Email
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Invalid email.
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Child's Name
*
Emergency Contact/Phone Number/Relationship to Junior
*
2nd Emergency Contact/Phone Number/Relationship to Junior
*
Cell Phone Number
*
Date of Birth
*
Will you be prepaying for all clinics? ($225)
Yes
No
Will your Junior be a drop in? If so, please include the date of their attendance below.
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