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Player Name
First Name
Last Name
Parent Name (if applicable)
First Name
Last Name
Birthdate for Juniors
-
Month
-
Day
Year
Date
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Which clinic are you choosing?
Beginners: Mondays 6-7PM at CTEC
Intermediate/Advanced: Mondays 7-8:30PM at CTEC
Please enter the month and year you are paying for. (i.e. June 2021)
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Monthly Clinic
$
40.00
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