RODF Hip Hop Class Registration Form

Fall Basketball - September

OUR TEAMS HAVE TWO TIMES AVAILABLE. WE HAVE GROWN SO BIG. PLEASE PICK THE TIME THAT FITS YOUR SCHEDULE.
LOCATION: Powerplay

10770 I Ave Hesperia, CA 92345
Class Participant Name*

First NameLast Name
Family/Parent/Guardian Name*

First NameLast Name
City where you live*
Ethnicity*

Hispanic/LatinoAfrican AmericanAsianWhite CaucasianOther
Do You have a Jersey?*

Yes, BlueYes, RedNew Player - purchasing jersey
Mobile Number*

Area CodePhone Number
E-mail*
Number over 62*
Number in Household*
Gender*
Age*
OUR TEAMS HAVE TWO TIMES AVAILABLE. WE HAVE GROWN SO BIG. PLEASE PICK THE TIME THAT FITS YOUR SCHEDULE.

Monday's 15th, 22nd, and 29th at 4:00 pmThursday's 18th & 25th at 4:00 pmMonday's 15th, 22nd, and 29th at 4:45 pmThursday's 18th & 25th 22nd at 4:45 pm
My Products
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September Monthly Family Donation $100.00
September Monthly Family Donation

September IRC Reimbursement - $100$100.00
IRC Reimbursement Payment for Recreational Services, Basketball, Dance, Karate, Soaring Eagles

Already donated this month / Self Determination$ Free
please hit PayPal to check out.

Basketball Jersey - Youth Small$25.00

Basketball Jersey - Youth Medium$25.00

Basketball Jersey - Youth Large$25.00

Basketball Jersey - Youth X-Large$25.00

Basketball Jersey - Adult Small $25.00

Basketball Jersey - Adult Medium$25.00

Basketball Jersey - Adult Large$25.00

Basketball Jersey - Adult XLARGE$25.00

Basketball Jersey - Adult 2XL$30.00

Basketball Jersey - Adult 3XL$30.00

Basketball Jersey - 4XL$30.00

Total $0.00

Payment Methods

Debit or Credit Card

Choose from one of the PayPal options to make your payment.

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Fall Basketball - September