4 openings left in this event!

Start Date/Time: End Date/Time:
Fee per Student: Room:
* - denotes required fields
Family Information
First Name:* Last Name: *
Home Phone: Cell #: Work #:
Email:* (Emails are kept confidential)
Address: *
City: * State: * Zip: *
Students entered below will be added to your family's account
I agree to the $50 evaluation fee.*
I understand my child will be placed on a team that she/he will be successful at*
How many children are you signing up for all stars on your family account? Names, ages, and birthday*
Please make sure your child brings a water bottle and a hair tie. We do provide snacks and water for purchase. (checked=yes)
Additional Information:
Other Questions/Comments:
Credit Card Verification:
Card Number: *  
Name as it appears on card: *
Card Expiration Month: *   Exp Year: *
Address Line 1: Address Line 2:
City: State: Zip:*