Team ROAR DC 2015 Fall Basketball Workout Registration Form

Team ROAR DC Fall 2015 Workout Registration Form
Parent's Name *

Prefix First Name Last Name
Parent's Email *
Parent's Phone *

Area Code Phone Number
Student Athlete's Name *

First Name Last Name
Student Athlete's Email
Student Athlete's Phone

Area Code Phone Number
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Student Athlete's Age *
Student Athlete's Gender *
Student Athlete's DOB *

Month Day Year
Student Athlete's Grade *
Student Athlete's Skill Level *
Student Athlete's Height *
Student Athlete's Weight *
Interested in joining Team ROAR?
TRDC 2015 Fall Workouts *
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4 Sessions ($20 discount) $ 100.00

3 Sessions $ 90.00

2 Sessions $ 60.00

1 Session $ 30.00
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