New - Sports Academy Fall Learning + Sports Pods Registration

1

What would you like to do?* This field is required.

I'm ready to sign up

I want to hear more

2

Parent / Guardian Name* This field is required.

First Name

Last Name

3

Parent / Guardian Email* This field is required.

example@example.com

4

Parent / Guardian Phone Number* This field is required.

Area Code

Phone Number

6

What type of pod(s) are you interested in?* This field is required.

Full Day

Specialized/Private

7

How many children are you registering?* This field is required.

8

1st Child's Information* This field is required.

Child's Full Name

Child's Grade

Child's CVUSD Remote Learning Time Slot

9

Please select your 1st child's sports.Selection for 6th-8th grade only

Basketball

Volleyball

Soccer

10

2nd Child's Information* This field is required.

Child's Full Name

Child's Grade

Child's CVUSD Remote Learning Time Slot

11

Please select your 2nd child's sports.Selection for 6th-8th grade only

Basketball

Volleyball

Soccer

12

3rd Child's Information* This field is required.

Child's Full Name

Child's Grade

Child's CVUSD Remote Learning Time Slot

13

Please select your 3rd child's sports.Selection for 6th-8th grade only

Basketball

Volleyball

Soccer

14

What type of pod are you registering for?* This field is required.

Full Day

Half Day

Specialized/Private

15

Deposit total

16

Sports Academy Fall Learning + Sports Pods Payment* This field is required.

Sports Academy Fall Learning + Sports Pods Deposit

USD

+ OR enter a custom value

First Name

Last Name

Credit Card Number

Security Code

Card Expiration