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Registration
Session Information
Session:
Madison Simis | First Semester Membership | Mondays | 3:30 - 4:45 pm | $189
Session Start Date:
8/30/2010 - 12/13/2010
Attendees Information
Child's First Name:
*
Child's Last Name:
*
Membership Fees:
Semester Membership $189.00
Email:
*
Contact Phone:
*
Additional Phone:
Child's Grade:
*
Child's Date of Birth:
*
School Attending:
Parents Name:
*
Address:
*
Please describe any allergies your child has:
How will child be released from AIT? (walk/bike, parent pick up, aftercare, other…):
*
I release AIT from all actions, claims, injury or damage from my child participating in AIT:
Yes
*
I give AIT permission to photograph/publish pictures of my child participating in the AIT program :
Agree
Disagree
*
Add an Additional Athlete
AIT’s Policy and Information
Payments can be made online or mailed in with a completed registration form. Participants registering through the mail should add an additional $5.00 for processing. There will be a $20.00 fee for all bank returned checks. All transactions are final unless written notification is received 5 days prior to the start of the session.
I Agree
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