Elite Athletes Academy
Enrollment Form
Student's Name
First Name
Last Name
Student's Date of Birth
-
Month
-
Day
Year
Date
Place of Birth
Gender
Please Select
Male
Female
Sport/Recreational Activities
Please Select
Softball
Field Hockey
Cross Country
Cricket
Rugby
Dance
Rodeo
Baseball
Football
Soccer
Gymnastics
Surfing
Basketball
Volleyball
Cheerleading
Self Defense
Golf
Tennis
Horseback Riding
Lacrosse
Track & Field
Other
Residential Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Name of last school attended
Grade Year for 2023-2024
Please Select
Grade 5
Grade 6
Grade 7
Grade 8
Legal Guardian Name #1
First Name
Last Name
Legal Guardian Occupation #1
Mobile Phone Number
Please enter a valid phone number.
Email
example@example.com
Legal Guardian Name #2
First Name
Last Name
Legal Guardian #2 Occupation
Mobile Phone Number
Please enter a valid phone number.
Attach Scan copy of Student Behavior Records/Student Academic Notes & Records
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Choose a file
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of
Attach Scan copy of Report Card from 2023-2024
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Attach Scan copy of Physical & Medical Certificate of Insurance
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of
Signature
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Enrollment Application
1 Family Enrollment to Elite Athletes Academy
$
250.00
Quantity
1
2
3
4
5
6
7
8
9
10
Re-Enrollment Application
1 Family Re-Enrollment to Elite Athletes Academy
$
199.00
Quantity
1
2
3
4
5
6
7
8
9
10
Payment Methods
Debit or Credit Card
Please click one of the PayPal options to complete payment and
submit
the form.
Submit Application
Submit Application
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