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REGISTRATION
Name
First Name
Last Name
Gender
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Other
Address
Street Address
Phone
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Sports Program
Session Registering for?
Baseball Spring 2024
Football Fall 2024
Soccer Fall 2024
Basketball Winter 2024
Spring 2024 Football
Have you ever attended an academy before?
Have you ever been convicted of a felony?
High School:
School Address:
From:
MM slash DD slash YYYY
To:
MM slash DD slash YYYY
Did you graduate?
Did you attend college?
Father's name:
Phone Number:
Mother's name:
Phone Number:
I live with:
Reference Full Name:
Relationship:
Phone:
Reference Full Name:
Relationship:
Phone:
I certify that my answers are true and complete to the best of my knowledge. I understand that false or misleading information in my application or interview may result in my release from WBCA.
Date
MM slash DD slash YYYY
Additional Comments:
Total Amount $20
Price
Price:
Total
Payment Method
PayPal Checkout
MasterCard
Visa
Supported Credit Cards: MasterCard, Visa
Card Number
Expiration Date
Security Code
Cardholder Name
