Basketball Skills Development Registration

Basketball Skills Development Registration
I wish to enroll my child to:*

Basketball Skills Development Training - Beginner/Intermediate (Feb 3-Mar 10, 2018)Basketball Skills Development Training - Advanced Girls (Jan 7-Feb 3, 2018)Basketball Skills Development Training - Advanced Boys (Feb 3-March 10, 2018)
Name of Player:*

First NameMiddle NameLast Name
Shirt Size*
Date of Birth:*

MonthDayYear
Address of Player:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Parent Information
Full Name of Parent/Guardian*

First NameMiddle NameLast Name
Home Phone Number

Area CodePhone Number
Mobile Phone Number*

Area CodePhone Number
E-mail*
Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Relation to the child:*
Select one*
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Basketball Skills Development - Beginner$110.00

Basketball Skills Development - Advanced Girls 4 week session$80.00

Basketball Skills Development - Advanced Girls Single Session$25.00

Basketball Skills Development - Advanced Boys 6 week session$120.00

Basketball Skills Development - Advanced Boys Single Session$25.00

Total $0.00
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