RODF Hip Hop Class Registration Form

Fall Basketball September

Fill out the form carefully and sign up of each participant separately. Ages 6 - 11 5:00 PM & Ages 12 & Older 4:00 PM
NEW LOCATION: Powerplay, 10770 I Ave, Hesperia, CA 92345
Class Participant Name*

First NameLast Name
Family/Parent/Guardian Name*

First NameLast Name
City where you live*
Ethnicity*

Hispanic/LatinoAfrican AmericanAsianWhite CaucasianOther
Do You have a Jersey?*

Yes, BlueYes, RedNew Player - purchasing jersey
Mobile Number*

Area CodePhone Number
E-mail*
Number over 62*
Number in Household*
Gender*
Age*
Class Date

Ages 12 & Older September 07, Thursday, 4:00 pm
Class Date

Ages 12 & Older September 11, Monday, 4:00 pm
Class Date

Ages 12 & Older September 14th Thursday , 4:00 PM
Class Date

Ages 12 & Older September 18th, Monday, 4:00 pm
Class Date

Ages 12 & Older September 18th, Monday,4:00 pm
Class Date

Ages 12 & Older September 21st, Thursday, 4:00 pm -
Class Date

Ages 12 & Older September 25th, Monday, 4:00 pm -
Class Date

Ages 12 & Older September 28th, Thursday, 4:00 pm
Class Date

Ages 6 - 11 September 07, Thursday, 5:00 pm
Class Date

Ages 6 - 11 September 11, Monday, 5:00 pm
Class Date

Ages 6 - 11 September 14th Thursday , 5:00 PM
Class Date

Ages 6 - 11 September 18th, Monday, 5:00 pm
Class Date

Ages 6 - 11 September 21st, Thursday, 5:00 pm
Class Date

Ages 6 - 11 September 25th, Monday, 5:00 pm
Class Date

Ages 6 - 11 September 28th, Thursday, 5:00 pm
My Products
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September Monthly Family Donation$50.00
September Monthly Family Donation

September Monthly Family Donation $75.00
September Monthly Family Donation

September Monthly Family Donation $100.00
September Monthly Family Donation

Already donated this month $ Free
please hit PayPal to check out.

Basketball Jersey - Youth Small$25.00

Basketball Jersey - Youth Medium$25.00

Basketball Jersey - Youth Large$25.00

Basketball Jersey - Youth XLARGE$25.00

Basketball Jersey - Adult Small $25.00

Basketball Jersey - Adult Large$25.00

Basketball Jersey - Adult Medium$25.00

Basketball Jersey - Adult XLARGE$25.00

Basketball Jersey - Adult 2XL$30.00

Basketball Jersey - Adult 3XL$30.00

Basketball Jersey - 4XL$30.00

Total $0.00

Payment Methods

Debit or Credit Card

First Name

Last Name

Credit Card Number

Security Code

Card Expiration

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

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Fall Basketball September