Youth Player Single Lesson Registration

1
Athlete Name* This field is required.
First Name
Last Name
2
Athlete Age* This field is required.
3
Parents Name
First Name
Last Name
4
Parent Contact* This field is required.
Please enter a valid phone number.
5
My Products* This field is required.
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My Bag
1
My Bag
Great Product Name
$20
Quantity:1
Size:Small
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Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
ORDER SUMMARY
Total costUSD
Single Lesson Indoor
Training available Monday - Thursday 6-8PM
Boca Prep International School
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Quantity
Total cost
6
Date Attending
Date
Month
Day
Year
7
Photo Release* This field is required.By selecting Yes, respondents confirm they give permission for their photo or image to be used for team, club, or promotional purposes as outlined by the registration terms.
Yes
No
8
Liability Agreement* This field is required.By selecting I agree, respondents confirm they have read and accepted the liability waiver and understand the risks and responsibilities of participation.
I agree
9
Payment Methods
Debit Or Credit Card
Select PayPal Method
Choose from one of the PayPal options to make your payment.
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