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REGISTRATION DETAILS:
Student's First Name:*
Student's Last Name:*
Student's Gender:*
Uniform Size:*
Division:*
Student's Birthdate:*
(MM-DD-YYYY)
Age:*
Most Recent Grade Level:*
Parent/Guardian First Name*
Parent/Guardian Last Name:*
Address:*
City:*
State (OT for "Other"):*
Zip:*
Country:*
Cell Phone:*
Home/Other Phone:
Parent Email:*
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Would you like to Coach?:
How did you hear about us?:
 
SELECTED PROGRAM:
Program Name: FRO Skills Classes - Unlimited
Address: TriFytt Sports Academy - 9650 9th St. Unit D4, Rancho Cucamonga
City, State: Rancho Cucamonga, CA
Date & Time: Monday, Wednesday, Fridays
Cost: $105.00
Contact:
Note:
 
ADD THESE ITEMS TO YOUR ORDER:
Item Image Molten Leather Basketball - $60.00
Item Image Molten Synthetic Leather Basketball - $40.00
 
WOULD YOU LIKE TO DONATE TO OUR SCHOLARSHIP FUND?
Donation Amount:
 
AUTHORIZE AND SUBMIT
I Agree

As Parent/Legal Guardian, I agree to indemnity and hold harmless Live Fytt & TriFytt Sports or any of its agents, contractors or employees from and against any and all claims, demands, damages, cost arising out of an act of of negligence arising from any incident, accident, injury, or damage to any person or person during which time the Student is participating in the program up to and including the time when the Student is released to the care of the Parent/Guardian. As Parent/Legal Guardian, I agree to allow to Live Fytt & TriFytt Sports to use photographs and video's of the Student taking during the program for use in marketing and promotional materials. Live Fytt & TriFytt Sports reserves the right to withdraw a student from the program without refund due to disruptive behavior of Parent/Legal Guardian and/or student.