Club Registration Fall 2022-Spring 2023

Emergency Contact Information

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Emergency Contacts Name

First Name Last Name
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Emergency Contacts Primary Phone Number
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Emergency Contacts Alternate Phone Number
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Medical condition(s) & Current medications: *
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Allergies: *
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Family Doctor: Name and Phone number
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We are committed to ensuring that all eligible children are able to join the Milwaukee Simba SC program; money should not be the reason a child cannot join.

In order to make this a possibility, please select the options below if financial assistance is needed.

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Will you require financial assistance? If so, please select one or both options below, hit submit and a Simba staff member will be in contact with you.

I require a custom payment plan. I require a partial scholarship. I require a full scholarship. Other
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Club Fees (SELECT ONLY IF YOU ARE PAYING IN FULL OR HAVE A COUPON CODE)

Competitive Team (Birth Years: 2005-2012) Ages 11-16

$ 500.00

Recreational Team (Birth Years: 2013-2017) Ages 5-9

$ 200.00

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Total

$ 0.00

Once you submit your application, you will be redirected to complete payment information. More information about the 2022-23 season will be sent later. Please keep an eye out for an email from milwaukeesimbasc@hotmail.com or add it to your contacts so it doesn't end up in a junk/spam folder. We look forward to meeting you all!

Thank you!

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Payment Methods

Debit or Credit Card

Please click one of the PayPal options to complete payment and submit the form.

Emergency Contact Information