Parent / Emergency Contact
First Name
Last Name
Parent / Emergency Contact Phone Number
-
Area Code
Phone Number
Parent / Emergency Contact Email
example@example.com
Child (Participant) Full Name
First Name
Last Name
Child (Participant) Date of Birth
-
Year
-
Month
Day
Date
Current Grade
Current Skill Level
Beginner
Intermediate
Advanced
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Holiday Daily Workout
$30.00 per day (If you do not want to come every day you can drop in when its convenient.) NOTE: Must register 48 hours in advance.
$
30.00
Quantity
0
1
2
3
4
Choose Your Date
Elite Seperation Tue Dec 20th 12:30- 3:30
Elite Seperation Wed Dec 21st 12:30-3:30
Elite Seperation Thur Dec 22nd 12:30-3:30
Next Level Seperation Wed Dec 21st 3:30-5:30
Next Level Seperation Thur Dec 22nd 3:30-5:30
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