#areuin? Program
Once your #areuin? Program number is verified, you will receive 75% discount on program registration fees. You will be responsible for 25%. If you have any questions about this program, please email krichard@utdsportsfoundation.org
Name of Program? For example, "Soccer Skills, Grassroots"
*
Age Group of Program? For example, "9-12"
Location of Program?
Hampton
Epping
Day of Program?
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Time of Program?
Participant First Name
*
Participant Last Name
*
Gender
*
Female
Male
Participant Date of Birth
*
-
Month
-
Day
Year
Participant Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Parent/Guardian Name
First Name
Last Name
Parent/Guardian Date of Birth
-
Month
-
Day
Year
Parent/Guardian Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
-
Area Code
Phone Number
Mobile
-
Area Code
Phone Number
Email
*
example@example.com
#AreUIn Card Number
*
This number will be verified before you receive your discount
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