TRACKIE - Online registration for events, tournaments, clubs and organizations...

Member Information

First Name *

Last Name *

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Male Female

Date of Birth * (YYYY-MM-DD)

/ /

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Address 2

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Emergency Contact Information

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Other Information

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Parent/Guardian #2 - Full Name

Parent/Guardian #2 - Phone

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Monday 6:30pm-8:00pm

Thursday 6:30pm-8:00pm

Saturday -10:00am-11:30am

Membership type

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Additional Items

AO U14

$30.65

QTY

Waivers

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WAIVER, CONSENT AND AUTHORIZATION

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Photo Release Form

Digital signature (type your name exactly as entered above "registrants name") *

Program	Weeks	Price
Fall - 1 Practice per week	8	$252.50
Fall 2- 3 Practices per week	8	$450.00
Winter I - 1 Practice per week	6	$192.00
Winter I- 2 - 3 Practices per week	6	$344.00
Winter II - 1 Practice per week	7	$222.00
Winter II- 2 - 3 Practices per week	7	$395.00
Winter III - 1 Practice per week	6	$192.00
Winter III- 2 - 3 Practices per week	6	$344.00
Spring - 1 Practice per week	8	$253.00
Spring 2 - 3 Practices per week	8	$450.00
Summer - 1 Practice per week	10	$313.00
Summer 2 - 3 Practices per week	10	$565.00
Annual	46	$1,720.00