Hearn Athletics Registration

Hearn Academy Athletics Registration

Practice Day: Fridays 3-4 pm (each session is 6 weeks long), followed by a Saturday competitive showcase.
Child #1 Name

First NameLast Name
Grade
Teacher
Child #2 Name

First NameLast Name
Grade #2
Teacher #2
Child #3 Name

First NameLast Name
Grade #3
Teacher #3
Parent/Guardian Name

First NameLast Name
Additional Parent/Guardian Name

First NameLast Name
Email #1
example@example.com
Email #2
example@example.com
Phone Number #1
Format: 000-000-0000.
Phone Number #2
Format: 000-000-0000.
Does your child need to go to after school care following practice? (Make sure it is available at your school).

Other (Please type)
Please list any health concerns, if applicable
Policy and Release Waiver
I have read and agree to the Policies, Agreements and Release of Liability. Sign below.

Hearn Academy - Fall Basketball

Starts 8/28, 3-4pm on Fridays, (GYM - 8/28, 9/4, 9/11, 9/18, 9/25, 10/2)

$105.00 # of children

Hearn Academy - Soccer

Starts 10/23, 3-4pm on Fridays, (FIELD - 10/23, 11/6, 11/13, 11/20, 12/4, 12/11)

$105.00 # of children

Hearn Academy - Flag Football

Starts 1/29, 3-4pm on Fridays, (FIELD - 1/29, 2/5, 2/12, 2/19, 2/26, 3/5)

$105.00 # of children

Hearn Academy - Spring Basketball

Starts 4/2, 3-4pm on Fridays, (GYM - 4/2, 4/9, 4/16, 4/23, 4/30, 5/7)

$105.00 # of children

Total

Hearn Academy Athletics Registration