Registration

REGISTER ONLINE

NAME*
EMAIL*
PHONE*
ADDRESS*
Street Address City State ZIP Code
PREFERRED CONTACT*
ARE YOU A MINOR THAT REQUIRES PARENT/GUARDIAN APPROVAL*
- No
- Yes
APPROVAL SIGNATURE - SIGN BELOW
RELATIONSHIP TO APPLICANT
REQUESTED SPORT FOR TRAINING*
DESIRED TRAINING DATES
(Plan for a ten week window, more for advanced level training)
DATE - FROM*
MM slash DD slash YYYY
DATE - TO*
MM slash DD slash YYYY
DESIRED TRAINING LEVEL*
ACCOMMODATION(S) REQUIRED*
- No
- Yes
IF YES, PLEASE SPECIFY
COMMENTS OR SPECIAL REQUESTS
Note: ( Please read carefully ) Tuition payments are fifty percent refundable up to five days prior to the first scheduled training session. Exceptions are at the discretion of CJMSOA.
CHECK HERE THAT YOU HAVE READ AND UNDERSTAND TUITION COSTS AND RELATED CONDITIONS.*
- Yes
REGISTRATION TOTAL
$0.00
ENTER YOUR PAYMENT INFO*

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Note: Any personal information provided by participants and or donators is not shared with any outside persons or businesses.