US Cricket Academy Week Camp Registration

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Name
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E-mail* This field is required.
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Date of Birth* This field is required.
Date
Month
Day
Year
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Playing Style* This field is required.Choose the slection...
Right hand bat
Please Select
Right hand bat
Left hand bat
Wicket Keeper RHB
Wicket Keeper LHB
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Parent Number* This field is required.
Area Code
Phone Number
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Monthly Fee* This field is required.
US $50.00
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Payment Method* This field is required.
By Mail Check Account Name [Cricket Council USA Inc.] [6221 West Atlantic Blvd, Margate, FL 33063]
By Deposit in Chase Bank Account Name [Cricket Council USA Inc.]
Zelle is also available - info@cricketcouncilusa.com
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