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Name (required)

Date of Birth (Ex. 03-09-2004)

Grade

Shirt Size (required)

Address (required)

City (required)

State (required)

Zip (required)

Home Phone Number (required)

Cell Phone Number (required)

Additional Phone Number

Email (required)

Additional Email

What program are you registering for?(required)

Team or Individual? (required)

Team Name

Parents Name (required)

School/Employer (required)

Please list any medical conditions and/or prescription medication we need to be aware of

Additional Information (*Email is MSC’s preferred form of contact. Schedules/info will be sent via email. If you are unable to receive emails, please let us know.)

Please note, you must fill out the form above AND submit payment to register for a class. When you click the Pay button, you will be redirected to PayPal to pay the registration fee.