JKMBA Winter Registration Form
Session 1 - Information & Program Details
Day: 6 Weekly Sessions on Saturday's

When: December 5th, 12th & 19th
January 2nd, 9th & 16th

Where: Marlton Field House
785 E Main Street
Evesham Township, NJ 08053

Cost: $175

Gender: Boys & Girls

Ability: Program is designed for the Beginner through Advanced Player

Grades: 2nd Grade through 8th Grade

Uniform: Each Participant will receive a JKMBA Reversible Jersey

Program: Each Session will consist of Drills & Game Play

Grouping: Participants will be grouped by Grade, Gender & Experience based on Total Enrollment
Parent 1 Information
Name 1 *
First & Last Name of Parent 1
Email 1 *
Parent 1 Email
Phone 1 *
Cell Parent 1 ... Example: 123-456-7890
Parent 2 Information
Optional
Name 2
Parent 2 First & Last Name
Email 2
Parent 2 Email or Secondary Email
Phone 2
Parent 2 ... Example: 123-456-7890
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