Middle School Dan Dickau Basketball Academy Fall

Dan Dickau Fall Basketball Academy Middle School Boys

Please use the form below to register for Dan Dickau's Basketball Academy starting Tuesday September 10th, 5:30 PM - 6:30 PM and every Tuesday until October 29th!
Participant Name:*

First NameLast Name
Parent/Guardian:*

First NameLast Name
Email*
example@example.com
Phone Number*

Area CodePhone Number
Please Select a payment option below before proceeding to the next page!

**PLEASE FILL OUT FREE WORKOUT FORM ON NEXT PAGE! THIS FORM HAS OUR WAIVER THAT NEEDS TO BE SIGNED FOR ALL PARTICIPANTS.**
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Shoot 360 Member PriceDan Dickau Basketball Academy
$150.00

Shoot 360 Non-Member PriceDan Dickau Basketball Academy
$225.00

Subtotal

$0.00

Tax

$0.00

Total

$0.00

Payment Methods

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

Dan Dickau Fall Basketball Academy Middle School Boys