Major's Place Program Registration
Thanks for your interest in Major's Place! 
Complete our program registration form below and we'll contact you first regarding our waivers and to coordinate your session!
Sign in to Google to save your progress. Learn more
Major's Place Mission & Values
Your Name *
First and Last name
Email *
Phone number *
Participant Name (if different from you)
First and Last name
Relation to participant (if different from you)
First and Last name
Participant Age:
What Programs were you interested in? *
Required
Why are you intersted in participating in this program? *
Which County do you live in? *
How do you plan on paying for your session(s) *
Are you interested in learning more about our scholarships and/or financial assistance? *
Is there anything else you would like to share with us?
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Major's Place.

Does this form look suspicious? Report

Google Forms