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This Form is Currently NOT Active.... Do NOT Fill Out! Please Check Back Soon! Message Posted 08-26-08
Complete the following 6 steps!
Fill out ALL the form blanks.
Use the TAB key (or mouse arrow) to move between blanks.
AVOID using ALL upper case letters. Ex. John Smith (ok) / JOHN SMITH (not ok)
Hitting your "Return" or "Enter" key too soon could result in premature submission.
ONLY Click the SUBMIT button when you have completed the form to your satisfaction.
Please read the Release of Liability Statement BEFORE filling out the form below. IF you fill out the following form, then go to the Liability page to read the Statement, all prior completed information could be lost.
Step 1
I agree to the RELEASE OF LIABILITY & Financial Agreement statements
Click to Read: Agreement Yes, I DO Agree / No, I DO NOT Agree NOTICE: The YES box MUST be checked for this form to be valid. If NO, please contact us!
Step 2 Review the schedules and note the Enrollment Code for the Camp or Session you plan to attend. You will need to provide this specific code when filling out the registration form.
On-Site Schedule ($80.00) Fall Schedule & Prices Coming Soon!
Fall Group Session Schedule ($495.00) Fall Schedule & Prices Coming Soon!
Step 3
Enrollment Code View Schedules Above to Obtain Code
Step 4
Participant's Information Last Name: First Name: Street Address:
City: State: Zip:
E-mail: Age: Primary Sport: Position:
School: T-Shirt Size (sizes are all adult) S M L XL 2XL Parent's Information
Last Name:
Father's Name: Mother's Name:
Home Phone: Cell Phone:
Parent's E-mail: NOTICE: The above e-mail address MUST be included so that PDS can provide your official confirmation.
Parent/Guardian Online Signature By typing my name in the above box, I hereby understand and accept the terms of agreement. NOTICE: The above online signature box MUST be appropriately filled for the submitted form to be valid!
Step 5 When you have filled in all the appropriate spaces above ... Click ► Step 6 Make checks payable to: Player Development Solutions Mail to: Player Development Solutions 11120 E 26th St N Suite 1100 Wichita, KS 67226
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