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$135.00
Age 6 to 10 years old December Saturday 3 pm to 4 pm Date: 12/06/25 , 12/13/25 , 12/20/25
Student Name* Birthday* Home Phone Cell Phone* Address* City* Zip* Mother’s Name Father’s Name Student Email Parent Email*
Beginner Team (2 days - $360)Intermediate Team (3 days - $400/$480)Junior Team (2 days - $400)Elite Team (4 days - $760/$805)
Cardholder Name* Relationship to Student* Credit Card Number* Expiration Date* CVC* Billing Zip Code* Signature* Date*
Student Signature* Parent Signature Date* Date
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