Name of Youth *

The name of the child participating in the practices.

First Name

Last Name

Name of Parent/Guardian *

The name of the parent/guardian responsible for the child.

First Name

Last Name

Phone Number *

(###)

###

####

Will you be paying up front or the drop-in rate? *

Dates are: May 10th, 17th, 24th, 31st; June 7th, 9th, 12th, 16th, 19th, 23rd, 26th, 30th; July 3rd, 7th, 10th, 14th, 17th, 21st, 24th, 28th, 31st; August 4th, 7th

Upfront ($325 for all practices – $14 per practice)

Drop-In ($20 per practice attended)