Child's Name Date of Birth MM slash DD slash YYYY Class Address Street Address City ZIP / Postal Code PhoneCellSchool Parent/Guardian's Name Email Address Emergency ContactUniform SizeMLXLXXLEvent RegistrationStandard Registation Only - $250Registration With Event Insurance – $275Date MM slash DD slash YYYY Payment MethodPayPal CheckoutCredit Card MasterCardVisaSupported Credit Cards: MasterCard, Visa Card Number Expiration Date Security Code Cardholder Name CAPTCHA
510-478-4988
