Future ballers academy registration

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PARENT GUARDIAN INFORMATION
Name*
First Middle Last
Relation*
Address*
Street Address Address Line 2 City State ZIP Code
Home Phone
Work Phone
Mobile Phone*
Email*
Enter Email Confirm Email
Gender*
PLAYER INFORMATION
Name*
First Middle Last
Gender*
Date Of Birth*
Height
Weight
Shirt Size
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Short Size
PAYMENTINFORMATION
Payment*
$150.00 Per Player/ Per Session
Fees Due in Full at Sign Up
USClub Player Registration From is Required Every Session
Program Location*
Today's Date
ADL REGISTRATION
Session 1 (Sep 8 - Oct 1)
Price:
Session 2 (Oct 20 - Nov 12)
Price:
Session 3 - Both Sessions
Price:
Convenience Fee
Price: $0.00
Total
$0.00
Terms Agreement*
- I agree to the terms above

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