2022 Fall Registration
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Player's First & Last Name *
Date of Birth *
MM
/
DD
/
YYYY
Age *
Player's Hometown *
Player's Phone Number *
Player's Email Address *
Guardian's Phone Number *
Guardian's Email Address *
*
Session Cost (6, 2-hr classes): $150
Cost if paying per class: $35
Registration and payment must be submitted no later than the first day of the session. Please indicate amount paid below and number of classes. Please scan the bar code with a phone camera to make a payment with Venmo or use @LIYCA on Venmo. You may also pay by check in person to LIYCA.
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