Dream Valley Athletics Online Registration

Registration

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Welcome to Dream Valley Athletics! If you know what class/team(s) your athlete wants to be on, please complete the following registration form. If you have questions or aren't sure, don't hesitate to reach out to us!

* denotes required fields

Referral Information

How did you hear about us?

Referral Name

Family Information

Family Last Name*

Where do you live?

Home Address*

City*

State*

Zip*

Primary Phone*

Additional Info

Health Insurance Carrier and Policy #*

Are you interested in coaching

Contact #1

Parent/Contact #1 First Name*

Last Name *

Type*

How Can We Contact You?

Home Phone

Work #

Cell # *

Portal Access (your email is your login)

Email* (Emails are kept confidential)

Confirm Email*

Portal Account Password

Confirm Portal Account Password

Contact #2

Parent/Contact #2 First Name

Last Name

Type

How can we contact you?

Home Phone

Work #

Cell #

Email (Emails are kept confidential)

Confirm Email

Student #1

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Cell #

Additional Info

T-Shirt Size*

School*

Grade Level*

Allergies *

Medications*

Primary Doctor and Phone Number*

Immunizations YN*

Please click on the Search button below, then choose the class. Please keep in mind that if you register before July 1st, days and times of classes are subject to change.

Enroll in Classes

Select Class

Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Cell #

Additional Info

T-Shirt Size*

School*

Grade Level*

Allergies *

Medications*

Primary Doctor and Phone Number*

Immunizations YN*

Please click on the Search button below, then choose the class. Please keep in mind that if you register before July 1st, days and times of classes are subject to change.

Enroll in Classes

Select Class

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Cell #

Additional Info

T-Shirt Size*

School*

Grade Level*

Allergies *

Medications*

Primary Doctor and Phone Number*

Immunizations YN*

Please click on the Search button below, then choose the class. Please keep in mind that if you register before July 1st, days and times of classes are subject to change.

Enroll in Classes

Select Class

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Cell #

Additional Info

T-Shirt Size*

School*

Grade Level*

Allergies *

Medications*

Primary Doctor and Phone Number*

Immunizations YN*

Please click on the Search button below, then choose the class. Please keep in mind that if you register before July 1st, days and times of classes are subject to change.

Enroll in Classes

Select Class

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Cell #

Additional Info

T-Shirt Size*

School*

Grade Level*

Allergies *

Medications*

Primary Doctor and Phone Number*

Immunizations YN*

Please click on the Search button below, then choose the class. Please keep in mind that if you register before July 1st, days and times of classes are subject to change.

Enroll in Classes

Select Class

Add Another Student

Required Policies

(Show-Hide Details)

Questions or Concerns

Comments

Registration

Referral Information

Family Information

Where do you live?

Additional Info

Contact #1

How Can We Contact You?

Portal Access (your email is your login)

Contact #2

How can we contact you?

Student #1

Additional Info

Enroll in Classes

Student #2 (Show-Hide Details)

Additional Info

Enroll in Classes

Student #3 (Show-Hide Details)

Additional Info

Enroll in Classes

Student #4 (Show-Hide Details)

Additional Info

Enroll in Classes

Student #5 (Show-Hide Details)

Additional Info

Enroll in Classes

Required Policies

(Show-Hide Details)

I Agree to All of the Above

Questions or Concerns

Payment Information

Registration

Referral Information

Family Information

Where do you live?

Additional Info

Contact #1

How Can We Contact You?

Portal Access (your email is your login)

Contact #2

How can we contact you?

Student #1

Additional Info

Enroll in Classes

Student #2 (Show-Hide Details)

Additional Info

Enroll in Classes

Student #3 (Show-Hide Details)

Additional Info

Enroll in Classes

Student #4 (Show-Hide Details)

Additional Info

Enroll in Classes

Student #5 (Show-Hide Details)

Additional Info

Enroll in Classes

Required Policies (Show-Hide Details)

I Agree to All of the Above

Questions or Concerns

Payment Information

Required Policies

(Show-Hide Details)