2021 Pro Clinic Signup Form – Momentum Sports Training NY

Camper Name *

First

Last

Camper Age *

Primary Contact/Guardian Email *

Primary Contact/Guardian Phone *

Billing Address *

Address Line 1

Address Line 2

City

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Zip Code

Camp Tuition *

Price: $ 150.00

Billing Information *

Card

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I agree to a one time charge for the amount above *

Yes

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