NJD Private Group Training Form

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Only one parent/guardian should pay the total amount.

60-minute session: $100 for the group

# of Participants *

Full Name of Parent/Guardian *

Parent/Guardian Phone # *

Parent/Guardian Email *

Name of Participant(s) *

Preferred start date *

YYYY

Preferred start time (60-minute sessions) *

Time

NOTICE: It is not guaranteed sessions will begin on your preferred start date. Official dates/times will be established over phone/email. In addition, the location(s) of each session will be determined subsequent to submitting this form. This is due to constant changes in field availability AND we want to choose a place that's convenient for you!

Preferred Payment Method *

Check

Venmo

Paypal

Someone else is paying for the group

Other:

Name of Payer (skip this question if you're paying)

Please list the emails of ALL other parent/guardians (if applicable)

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