Registration
All 6 ECE locations have joined together to create a unique and exciting curriculum for the month of May. Prepayment is REQUIRED before access will be provided.
Event:
Start Date/Time: End Date/Time:
Fee per Family: Room:
* - denotes required fields
Family Information
First Name:* Last Name: *
Type*
Home Phone: Cell #: Work #:
Email: (Emails are kept confidential)
 
Address: *
City: * State: * Zip: *
 
 
 
Questions/Options:
Are you a current ECE Central athlete? (you are not required to be a member to take part in virtual classes)*
Age as of 05/01/2020*
Are you planning to register for the 2020-2021 season with ECE Central? (you are not required to be a member to take part in virtual classes)
 
Additional Information:
 
RELEASE & INDEMNITY
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I've read the above and agree.
 
VIRTUAL INSTRUCTION
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I've read the above and agree.
 
Enter your Full Name: *   
 
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:*