Regional Page 2


                        
                            
                        
					 
 
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        	Step 1 of 3 - Parent Information
        	
            
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					URL
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Contact Status
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Source


Basketball Training Session!
Subject
Parent/Legal Guardian Name(Required)
                            
                            
                                                    
                                                    First
                                                
                            
                            
                                                    
                                                    Last
                                                
                            
                        
Phone Number
Email(Required)
                                
                                    
                                    Enter Email
                                
                                
                                    
                                    Confirm Email
                                
                                
                            
                    
                    
                          
                    
                
                
                    
                         
Athlete Information
Athlete Name(Required)
                            
                            
                                                    
                                                    First
                                                
                            
                            
                                                    
                                                    Last
                                                
                            
                        
Athlete's Grade
FT
Inches
Athlete's Skill Level
Parent/Guardian Consent(Required) I agree to this sports activity.
By submitting this form, I am the parent and/or legal guardian of the athlete identified in this form. I am aware of this activity and assume responsibility for the athlete.
                    
                    
                          
                    
                
                
                    
                         
Please select one of the session choices below
NOTE: Each session is 60-minutes in duration:


  Individual Session - One (1)- 60 minute session
  Monthly Session - Total of four (4) - 60-minute sessions
 
Select Session Type:(Required)
			
					
					Individual Session
			
			
					
					Monthly Session
			
Monthly Session - (20% Savings!)
Individual Session
					
					
						Price:
							
					
					
				
Individual Session Quantity
How many individual sessions? -(Max 3 )
Total
							
						
Monthly Session
					
					
						Price:
						
					
					
				
Total

Step 1 of 3 – Parent Information

Name

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This field is hidden when viewing the form

Contact Status

This field is hidden when viewing the form

Source

Basketball Training Session!

Subject

Parent/Legal Guardian Name(Required)

First Last

Phone Number

Email(Required)

Enter Email Confirm Email

Regional Page 2

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Basketball Training Session!

Athlete Information

Please select one of the session choices below

NOTE: Each session is 60-minutes in duration:

Individual Session - One (1)- 60 minute session

Monthly Session - Total of four (4) - 60-minute sessions

Basketball Training Session!

Athlete Information

Please select one of the session choices below

NOTE: Each session is 60-minutes in duration:

Individual Session – One (1)- 60 minute session

Monthly Session – Total of four (4) – 60-minute sessions