Registration

Envy Athletics All-Star Prep Evaluations will take place on Friday, May 17th from 5:30-7:30pm.

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

Questions/Options:


Do you have any pre-planned summer vacations? If yes, please provide the dates to assist us with scheduling dates for Camp Envy and Choreography.*
Do you have any practice day or time conflicts? Note, we can't guarantee that we can accommodate all conflicts, and this can affect their placement. Ex: Can't make a practice before 4pm, No Tuesday.*
Does your athlete want to be considered for a crossover? Additional fees will apply. *

Additional Information:

Waiver

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I've read the above and agree.

Financial

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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:*

eCheck/Bank Draft:

Bank Name:

Bank Routing Number:

(9-digit number)

Your Account Name:

(Your name on your bank statement)

Your Account Type:

Account Number: