Registration

There will be 2 jump sessions. 12-1pm is for ages 9 and up. 1:15-2:15pm is for ages 5-8. We will have an industry leading guest coach, Stephanie Brodbeck, come in and work with the athletes on their jump technique. This clinic is for one hour and is limited to only 25 athletes!
Event:
Start Date/Time: End Date/Time:
Fee per Student: Room:
* - denotes required fields
Family Information
First Name:* Last Name: *
Type*
Home Phone: Cell #: Work #:
Email: (Emails are kept confidential)
 
Address: *
City: * State: * Zip: *
Emergency Contact Info
 
 
Students entered below will be added to your family's account
 
Additional Information:
 
 
Other Questions/Comments:
 
Credit Card Verification:
   
Card Number: *  
Name as it appears on card: *
Nickname:
Card Expiration Month: *   Exp Year: *
Address Line 1: Address Line 2:
City: State: Zip:*