PLAYMAKERIQ PROGRAM PAYMENT PAGE

Please complete the form below to place your player on the waitlist for any sessions that are currently full. With enough interest, we may open additional spots. If additional spots are opened up, they will be offered to those on the waitlist in the order hey were received.

We also encourage registering for future open sessions NOW to avoid having to be place on a waitlist. (CLICK HERE TO PRE-REGISTER FOR OPEN SESSIONS)

This Form cannot be submitted until the missing fields (labelled below in red) have been filled in
Girls PlaymakerIQ Program Waitlist
Please note that all fields followed by an asterisk must be filled in.
Player First Name*
Last Name*
E-Mail Address*
Parent/Guardian Name*
Parent/Guardian Cell Phone (to receive texts)*
Player Current Grade*
I would like to put my player on thewaitlist for the following sessions:(click all that apply)	Session 1 (Aug 13-Sept 10)
Notes/Comments
Please complete the challenge that you see below.

Contact us at 916-747-5479 with any questions.

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