Team ROAR DC 2015 Fall Basketball Workout Registration Form

Team ROAR DC Fall 2015 Workout Registration Form
Parent's Name*

PrefixFirst NameLast Name
Parent's Email*
Parent's Phone*

Area CodePhone Number
Student Athlete's Name*

First NameLast Name
Student Athlete's Email
Student Athlete's Phone

Area CodePhone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Student Athlete's Age*
Student Athlete's Gender*
Student Athlete's DOB*

MonthDayYear
Student Athlete's Grade*
Student Athlete's Skill Level*
Student Athlete's Height*
Student Athlete's Weight*
Interested in joining Team ROAR?
TRDC 2015 Fall Workouts*
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4 Sessions ($20 discount)$100.00

3 Sessions$90.00

2 Sessions$60.00

1 Session$30.00
Should be Empty: