LOBA Registration Winter 2022

Now enrolling for Winter 2022

LOBA Winter Session 2022 Registration (#5)

This Registration form is intended for Parents/Guardian to fill out for their child/student/player.

Parent's/Guardian's full Name

Day Phone/Mobile

Secondary Mobile

Secondary Email

How did you learn about this event?

Any questions or concerns so far?

PLAYER INFORMATION

Gender

Male

Female

Age

Tee Shirt Size

What School does your student attend?

What Grade are they in?

What is your player's skill Level?

Beginner $95

Intermediate $95

Advanced $120

PAYMENT METHOD - Would you rather pay by Card, Check or Cash? Make your selection below by clicking on the appropriate radial button.

Pay with PayPal

Offline Payment

Processing Fee for PayPal or Credit Card

Price: $10.00

No payment items has been selected yet

Agreement and Waiver

I have read and accept the agreement and waiver for this program.

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