Fall High Performance Program

Starting August 27th: Tuesdays and Thursdays, 4-6 pm, $15/hour

Student Information
Student Name
First Last
Emergency Contact
Emergency Phone
Student Birth Date
School
Medical Conditions
Parent Information
Parent/Guardian Name
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Parent Email
Parent Phone
Photo Release
I give permission for my child to be photographed and for these photos to be used, if selected, for a range of educational and promotional purposes such as print publications, online publications, presentations, websites, and social media.
- Yes
- No
I understand that I must have a signed liability waiver on file in order to play*
- Accept
Please print out the PDF file below labeled 'ICTP Release Form' and fill out/sign the waiver in order to complete registration. Completed forms can be turned in to the welcome center
Class Registration
The Fall Program is $15/hr played. Credit cards will be charged each Monday, for the previous weeks balance.
Name on Card*
Card Numbers*
Expiration Date*
CVV*
Email for receipt

Student Information