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Participant Information
First Name
*
Last Name
*
School
*
Grade
*
2
3
4
5
Date of Birth
*
+
Gender
*
Male
Female
Allergies or Special Needs
*
Yes
No
If yes, please describe:
*
Center Member?
*
Yes
No
Member PIN (Home phone)
*
Email
*
Basketball Clinics at 120 Warren St
2-3 Girls: March 22nd - May 24th (9 Sessions) $350
*
Tuesdays 6:15pm - 7:30pm
(0 remaining)
4-5 Girls: March 23rd - May 25th (9 Sessions) $350
*
Wednesdays 6:15pm - 7:30pm
(2 remaining)
4-5 Boys: March 24th - May 26th (9 Sessions) $350
*
Thursdays 6:15pm - 7:30pm
(0 remaining)
2-3 Boys: March 25th - May 27th (8 Sessions) $350
*
Fridays 6:15pm - 7:30pm
(1 remaining)