GH Christos - Gilbert After School Athletics Registration
Practice Day: Tuesdays 3:20-4:20 pm
Program Information
Child #1 Name
*
First Name
Last Name
Child #1 Grade
*
Please Select
K
1
2
3
4
5
Teacher #1
*
Child #2 Name
First Name
Last Name
Child #2 Grade
Please Select
K
1
2
3
4
5
Teacher #2
Child #3 Name
First Name
Last Name
Child #3 Grade
Please Select
K
1
2
3
4
5
Teacher #3
Parent/Guardian Name
*
First Name
Last Name
Additional Parent/Guardian Name
First Name
Last Name
Email #1
*
example@example.com
Email #2
*
example@example.com
Phone Number #1
*
Phone Number #2
*
Does your child need to go to after school care following practice? (Make sure it is available at your school).
*
Yes
No
Other (Please type)
Please list any health concerns, if applicable
Policy and Release Waiver
I have read and agree to the Policies, Agreements and Release of Liability. Sign below.
*
My Products
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GH Christos Gilbert- Soccer
Tuesdays: 10/28, 11/4, 11/18, 12/2, 12/9, 12/16
$
75.00
# of children
1
2
3
4
GH Christos Gilbert - Flag Football
Tuesdays: 1/20, 1/27, 2/3, 2/10, 2/17, 2/24
$
75.00
# of children
1
2
3
4
Credit Card
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