Name: Community Racer Clinic
Start: 2019-05-04T14:00:00-04:00
End: 2019-05-04T16:00:00-04:00

Please fill all the required fields below:

Name*
First Last
Address:*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Phone:*
Email:*
Contact person:
Photograph Terms*
- Yes, I do accept the terms
By checking this box below, I am aware photographs and videos will be taken and used for marketing including the use of social media for this program. I have proper authorization for each student attending to be photographed or videoed. If you have questions, please email us at soapboxderby@letsgrowsteam.org or call 800.332.7147
PLEASE SUBMIT YOUR REGISTRATION

Racer Clinics – 27th April – D.A. Turner YMCA

PLEASE SUBMIT YOUR REGISTRATION