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Youth Sports Training Registration
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Participant's first Name:
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Participant's last Name:
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Parent's Name:
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Address:
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City:
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State:
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Zip:
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Home Phone:
Email:
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Date of birth:
(format: XX-XX-XXXX)
Emergency Contact:
Phone:
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Grade:
select one
5th
6th
7th
8th
9th
10th
11th
12th
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Gender:
Select one
Male
Female
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School attending:
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Training Course:
Select one
Performance and Conditioning: Bishop Miege High School Monday & Wednesday 10:00-12pm
Performance and Conditioning: Bishop Miege High School 10:00-12pm
Performance and Conditioning: Mid-America Nazarene University 4:00-6pm
Performance and Conditioning: Platte County High School, Tuesday & Thursday 9:00-11am
Performance and Conditioning: Polo Fields, Tuesday & Thursday 6:00-8pm
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Dates available:
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Session duration:
select one
4 Week, 8 Sessions
8 Week, 16 Sessions
$0.00
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= Required information.