Individual Registration

Please enter information in the form below to process registration for event Fall/Winter Juniors - Tiny Tots/Beginner/ADV Beginner/Teen (6 to 9 Weeks).

First Name *

Last Name *

Age *

Date of Birth *

Address *

Address 2

City *

Zip *

State

Phone *

Email *

Comment

Choose Session

Choose Your Tiny Tots/Beginner/ADV Beginner Program *

Tiny Tots - 8 Week Session: One Day per Week ($166)

Tiny Tots - 8 Week Session: Two Days per Week ($312)

Red/Orange Pre Rally - 8 Week Session: One Day per Week ($194)

Red/Orange Pre Rally - 8 Week Session: Two Days per Week ($368)

Teen 1 - 8 Week Session: One Day per Week ($194)

Tiny Tots Scheduled Days and Times (Fall/Winter)

Monday 3:30 – 4:15 p.m.

Tuesday 10:00 – 10:45 a.m.

Tuesday 1:00 – 1:45 p.m.

Friday 3:30 – 4:15 p.m.

Friday 6:00 – 6:45 p.m.

Sunday 11:00 – 11:45 a.m.

Sunday 12:00 – 12:45 p.m.

Choose Program Level (Tiny Tots & Level 1-2) [Fall/Winter]

Red - Pre Rally/ Red Player Scheduled Days and Times

Monday 3:30 – 4:30 pm

Monday 6:00 – 7:00 pm

Friday 3:30 – 4:30 pm

Friday 6:00 – 7:00 pm

Sunday 11:00 – 12:00 pm

Sunday 12:00 – 1:00 pm

Sunday 1:00 – 2:00 pm

Teen 1 Scheduled Days and Times *

Wednesday 6:00 – 7:00 p.m.

Friday 7:00 – 8:00 p.m.

Sunday 1:00 – 2:00 p.m.

Orange Player Scheduled Days and Times [Fall/Winter]

Monday 3:30 – 4:30 pm

Monday 6:00 – 7:00 pm

Friday 3:30 – 4:30 pm

Friday 6:00 – 7:00 pm

Sunday 11:00 – 12:00 pm

Sunday 12:00 -1:00 pm

Sunday 1:00 -2:00 pm

Payment Information

Amount

Payment Method

Paypal

Credit Card Number*

Expiration Date*

Card (CVV) Code*

Card Holder Name*