Registration Form

Please complete the registration form below to secure your spot. Space is limited, so don’t wait!

Registration Form

Participant Name

First Name

Last Name

Participant Birth Date *

Birthday

Year

Month

Day

Program Your Child Was Enrolled in this Season *

Multi choice

Development

Selects

Competitive

Other

Next Play Athletics Program

What program are you joining?

Participant Address

Address

Parent Name

Full Name

Phone

Email

Emergency Contact

Full Name

Phone

Program

Programs List

Postseason Conditioning (2012/2013)$120

Postseason Conditioning (2015/2016)$200

Momentum Series (2017/2018)$65

Camp (2015-2017)$350

Next Play Leaders in Training (12 years old+)$0

Private Training (Coach Brit)$80

Program Expectation

What do you want your child to take away from this program?

Anything else we should know?

(e.g. allergies, asthma, learning challenges etc.)

By participating in this activity, you grant Next Play Athletics permission to use your child's likeness in photographs/video for promotional materials, website, social media, etc.

Single choice

Yes, I consent.

No, I do not consent.

Would you like to join the mailing list to get notified first about new programs and opportunities with Next Play Athletics?

Yes, I would like to be added to the mailing list.

Registration Form

Registration Form

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