PRE GAME YOUTH APA REGISTRATION
Student/Player Name
*
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Date
Child Shirt Size
*
Grade
*
NICKNAME OR PERFERRED NAME
Type a question
MALE
FEMALE
Childs Favorite Color
*
Do your child currently have a Cue Stick and accessories ?
No
Yes
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
PARENT / GUARDIAN
First Name
Last Name
PARENT / GUARDIAN
First Name
Last Name
Phone Number
*
-
Area Code
Phone Number
Phone Number
*
-
Area Code
Phone Number
Email
*
example@example.com
SELECT THE CLASS DATES YOU WOULD LIKE YOUR CHILD TO ATTEND, THE EVENING CLASS DAY WILL BE DETERMINED AT A LATER DATE.
ENNIS,TX 1pm-3pm - SUNDAYS @ THE GAMEROOM
ENNIS,TX 6-7:30pm - WEDNESDAYS @ THE GAMEROOM
ENNIS,TX BOTH DAYS
J.WHISKEY'S OAK CLIFF, TEXAS THURSDAYS 6-7:30
OUTLAW SALOON FORNEY,TEXAS DATE TBD 6-7:30
NATION WIDE VIRTUAL CLASS DATE TBD 6-7:30
ARLINGTON, TEXAS LOCATIONS
TARRANT COUNTY LOCATIONS
NO SURE YET
Submit
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