Learn To Play Registration Form

LEARN TO PLAY PROGRAM

SESSION #1 - MAY 28 TO JUNE 25, 2020

SESSION #2 - JULY 2 TO JULY 30, 2020

REGISTRATION FORM

First Name:

Last Name:

Street:

City:

Postal Code:

Phone Number (xxx-xxx-xxxx):

E-mail Address:

Gender:

Male Female

Year of Birth:

Parent's Names:

Parent's Email:

Parent's Cell Phone:

Emergency Contact:

Emergency Contact Phone:

Session:

Tank Top Size: