Esports Academy Registration Form
Fill out the form carefully for registration
Member Name
First Name
Last Name
Parent or guardian name
First Name
Last Name
Parent or guardian phone number
Parent or guardian E-mail
example@example.com
Courses
Please Select
Fortnite Monday 530-7pm
Fortnite Wednesday 530-7pm
Rocket League (13+) Thursday 7pm-9pm
Additional Comments
Submit
Should be Empty: