Super Start Intensity Basketball 2022 Registration Form
January - March (Grades 2-4 (will take lesser experienced grade 5’s)
Childs Name
*
First Name
Last Name
Your Name
*
First Name
Last Name
Your Email
*
example@example.com
Secondary Email
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
What School Does Your Child Go To?
*
Child's Age
*
Club 1 & 2 | What sessions are choosing?
*
Monday 4:30 - 5:50 Centennial
Mondays 6:30 – 7:50pm – Laurier Heights
Thursdays 6:00 – 7:20pm – George Nicholson
Did you pay for a Net-Works / Ameba Starr/ Intensity program between August 2020 and June 2022?
*
Yes
No
Use Coupon Code
"Intensity" for 12% Off
Programs
*
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( X )
New Member 1 Class / Week
$149.00 CAD
$
149.00
CAD
Continuing from Fall 1 Class / Week
$134.00 CAD
$
134.00
CAD
Payment Methods
Choose from one of the PayPal options to
make your payment.
Submit
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