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REGISTRATION

Please complete all entries.  

Name:   
Address:  
City:   State:   Zip: School: 
Phone:        Email:
Age:   (if under 18)  Sport:  
Emergency Contact:  
Contact Relationship:

Lacrosse (Session 2) "Pure Speed" $65.00

Speed Development Clinic $50.00

Competitive Edge (indicate  session by choosing the amount below)

6 sessions $90.00

12 sessions $144.00   

24 sessions $240.00

Print PAR-Q and Injury Waiver Adobe PDF icon (both must accompany payment or first class)

Make checks payable to F.A.S.T. or use Acceptance Mark