BBA CMIT North Enrichment Program Winter 2019
CMIT North Elementary Dates: (MONDAY)
October 7th, 14th, 21st, 28th, November 4th, 18th, 25th, December 2nd, 9th, & 16th

CMIT North Elementary Dates: (WEDNESDAY)
October 2nd, 16th, 23rd, 30th, November 13th, 20th, December 4th, 11th, & 18th

CMIT North Middle/High Dates: (TUESDAY)
October 8th, 15th, 22nd, 29th, November 12th, 19th, 26th, December 3rd, 10th, & 17th

Locations: CMIT North Elementary & CMIT North Middle

Time: 3:00pm to 4:15pm

Rate:
$165 per athlete once a week
$260 per athlete twice a week *elementary school only*

*** Tax will be added to the total, please input the exact rate written above when using paypal ***

Please register your child here where you will be able to choose available days.
Athlete's Name *
Your answer
School *
Required
Grade *
Your answer
Age *
Your answer
Parent's Name *
Your answer
Parent's Email *
Your answer
Parent's Phone Number *
xxx-xxx-xxxx
Your answer
Sessions *
Please choose from the options below once a week or twice a week sessions. All session prices are per athlete.
Required
Required
I Have Read and Understnad BBA's Refund and Use Policy *
Required
Required
Does your child have any injuries or illnesses we should be aware of? *
Your answer
Emergency Contact *
Who would you like called during training and their phone number
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of Bellucci Basketball Academy. Report Abuse