MaxStart Fall-Winter Registration

HAS YOUR LEVEL BEEN ASSIGNED?

YESNO
SELECT YOUR PLAYER STATUS

NEW PLAYERRETURNING PLAYER
PLEASE CALL US: 914-310-3156 OR EMAIL: TEAM@MAXIMUM-TDZ.COM TO SCHEDULE YOUR EVALUATION AND TO BE ASSIGNED A LEVEL APPROPRIATE TO YOUR SKILLS AND EXPERIENCE.
PARTICIPANT'S INFORMATION*

FIRST NAMELAST NAME
AGE*
BIRTHDAY*
GENDER*
T-SHIRT SIZE*
KNOWN ALLERGIES / MEDICAL CONDITIONS
PLEASE LIST IF ANY
PARENT / GUARDIAN'S INFORMATION*

FIRST NAMELAST NAME
RELATIONSHIP TO CHILD*
CELL PHONE NUMBER*
CELL PHONE NUMBER*
Please enter a valid phone number.
EMERGENCY NUMBER *
Please enter a valid phone number.
EMERGENCY NUMBER *
EMAIL*
EMAIL*
example@example.com
PAYMENT
SELECT DAYS OF ATTENDANCE*

MONDAYWEDNESDAYFRIDAY
SELECT NUMBER OF DAYS*

1 DAY: $18552 DAYS (5% OFF): $35253 DAYS (10% OFF): $5010
TOTAL ESTIMATED COST
THIS ESTIMATE INCLUDES A 25% DEPOSIT.
SELECT PAYMENT OPTION*

PAY 25% DEPOSITPAY IN FULL
25% Calculation
Calculation for payment

PAYMENT