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Player Registration
KC Styx Winter Academy 2023
1
Complete Form
2
Payment
3
Confirmation
Option:
--Select--
Winter 2023
February
Price:
Description:
= Required Field
Player Information
--Select Player--
GENDER
Please select...
Male
Female
CITY
STATE
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AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
PR
PW
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
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AB
BC
MB
NB
NF
NT
NS
NU
ON
PE
QC
SK
YT
DATE OF BIRTH
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AGE GROUP
('23-'24)
Please select...
U12 (2012)
U13 (2011)
U14 (2010)
U15 (2009)
U16 (2008)
U17 (2007)
U18 (2006)
U19 (2005)
Cell Phone
Emergency Contact
Emergency #
Approvals
I understand that playing or participating in the indoor program may be a potentially dangerous activity involving risk of injury. I understand that in any contact sport, such as field hockey, an athletic participant can be seriously injured. I am aware that the dangers and risks of my child's or myself playing or participating in this program include, but are not limited to, falls, contact or collisions with other participants, equipment and facilities.
Approval Signature
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Refund Policy
Full refund will be given if cancelled before date of first session you are signed up for. Partial payment will be refunded if cancelled after first session. Refunds will be pro-rated, depending on remaining sessions.
Contact Info
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