Player Development Solutions - Wichita, Kansas - 316.630.0700

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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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Report a problem with this form
 


11120 E 26th St N, Suite 1100
Wichita, KS  67226
Phone: 316.630.0700
info@playerdevelopomentsolutions.com