Session Pre-Registration

Pre-Registration For Session Goodyear Session #2

Dates: April 6 thru April 29 (Tuesday & Thursday's Nights 5:30 to 7:00pm)
Cost: $65.00 for the four week session

Pre Registration Requirements: Participant must be 8 - 16 years of age.

Or use the form below and we will get back to you as soon as we can. We look forward to hearing from you.

Participants Full Name:	Participants Age:
Parents Full Name:
Email Address:
Street Address:
City:
Zip:
Telephone #:
Any Medical Conditions:
What is the best way to contact you?
If by Phone, what is the best time of day to get in touch with you?

Payment is due at the first session on 4/6/10 please bring cash or a check. Checks should be make out to Excell Youth Sports
Also please arrive no later than 5:15 pm to complete your registration paperwork and sign the registration form.