Keiki Kodomo Fall Clinic Registration

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Dates: 9/10, 9/17, 9/24, 10/1, 10/8, 10/22, 10/29 (7 weeks)

Time: 2:30 pm to 4:00 pm

Location: Helen Stacey Middle School - 6311 Larchwood Dr, Huntington Beach, CA 92647

Cost: $25/session, drop-in

OR $120 for 7 weeks, pre-paid, no make-ups

Payment will go directly to The Works Basketball Academy via Venmo @theworkssports

A weekly sign-up form will be sent via email once registration is received.

Clinic will capped to no more than 20 players due to limited gym space availability. Priority will be given to players who have registered and pre-paid all 7 weeks but weekly sign-up is needed to track open slots for drop-in players.

Email *

Please choose your payment schedule:

$25 drop-in

$120 pre-paid for 7 weeks

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Player/Minor's First Name
*

Player/Minor's Last Name
*

Player/Minor's Birthdate

YYYY

Player/Minor's Grade in Fall 2022
*

Division
*

1st Parent/Legal Guardian's First and Last Name
*

1st Parent/Legal Guardian's Phone Number
xxx-xxx-xxxx *

2nd Parent/Legal Guardian's First and Last Name

2nd Parent/Legal Guardian's Phone Number
xxx-xxx-xxxx

2nd Parent/Legal Guardian's Email

Home Address (number, street, city, state, zip code)
*

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