2023 WINTER TRAINING CLINIC REGISTRATION
MONDAY ALL SKILLS TRAINING CLINICS: 
Samuell Grand Rec Center | 6200 East Grand Ave., Dallas 75223 | Time: 5:45-7:15pm | Fees: $115
OR
WEDNESDAY ALL SKILLS TRAINING CLINICS: 
Samuell Grand Rec Center | 6200 East Grand Ave., Dallas 75223 | Time: 5:45-7:15pm | Fees: $115
OR
MONDAY SERVING CLINICS ONLY:
Ridgewood Rec Center | 6818 Fisher Road, Dallas 75214 | Time: 5-6:30pm | Fees: $115

*PAYMENT AGREEMENT-READ & SIGN THE LAST BOX. Payment must be received prior to the clinics. 
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Email *
Player's Name *
Player's Grade *
Player's age *
Player's Birthdate *
MM
/
DD
/
YYYY
Player's Gender *
Player's School *
Parent Name/Guardian *
Parent Cell Phone # *
Parent Email *
My son/daughter will participate on the following day(s); Check all that apply.  *
Required
Parent Payment Agreement Policy: 
$115 Payment must be paid to the City of Dallas; Report to the recreation desk to pay your son/daughter's fee. 
 *
Required
I UNDERSTAND THERE IS NO TRAINING CLINICS DURING THE HOLIDAYS: DECEMBER 25TH, DECEMBER 27TH, JANUARY 1ST AND JANUARY 3RD *
PARENT SIGNATURE  (Typed name is considered an electronic signature for the sake of this form) *
A copy of your responses will be emailed to the address you provided.
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