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Acosta Academy of Excellence Summer Program
Please fill out for each player who will attend
If you have any additional questions please contact acostaacademy@gmail.com or (239)-677-1283
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Email
*
Your email
Parent/ Guardian Cell Phone
Your answer
Player's Full Name
*
Your answer
Player Birth Year
*
Your answer
Gender
Male
Female
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Intended Package of Purchase
*
4 sessions
8 sessions
14 sessions
Required
Form of payment (Payment can be completed on the player's first day)
Venmo (@Lorlly-Acosta)
Check (Made out to "Acosta Academy of Excellence, LLC"
Cash
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Shirt Size (If new to the program)
Your answer
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