Academy-Only Membership

Monthly membership is $119.

Contact Information

First Name *

Last Name *

Email *

Child First Name *

Child Last Name *

Shirt Size *

School *

Phone1 Type *

Phone1 *

Phone2 Type

Phone2

Boy/Girl *

Shorts Size *

Age *

Child 1 Birthday MM-DD-YYYY *

Source *

Billing Address

Street Address 1 *

Street Address 2

City *

State *

Postal Code *

Credit Card Information

Card Type *

Card Number *

Expiration Month *

Expiration Year *

CVC *

Product Purchase Plan

Registration Fee

Amt

1 Payment of $59.00

$59.00

Subscription Purchase

Academy Membership $119

$119.00 every Month

$119.00 every Month

Process

I have read and understand the terms of this agreement.

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