SEPTEMBER 29TH, 2014
• BUILD ARM STRENGTH
• INCREASE ARM CARE KNOWLEDGE
• LEARN TO PREVENT INJURY
• INCREASE ARM RESISTANCE

AGE BREAKDOWN:
MON, TUES & THURS – (15-18YRS)-4:30-5:30 MON & THURS (12-14YRS)-5:00-6:00

REGISTRATION FORM:
PLAYER NAME: ______________________________________________________ AGE:________________
CONTACT EMAIL: __________________________________________________________________________
CONTACT PHONE NUMBERS: ______________________________________________________________

I _________________________ Authorize _KC Elite Athletics, LLC to charge my credit card
(NAME) (COMPANY)
For services rendered. Not to exceed the amount shown.
AMOUNT $_________________USD.
CREDIT CARD # ____________________
CARD CV2 # ____________________
EXPIRATION DATE ____________________
BILLING ZIP CODE ____________________
NAME ON CARD ______________________
(As it appears on card)

____________________________________ __________________
SIGNATURE DATE

FAX OR MAIL TO:
KC Elite Athletics, LLC, 9421 Leslie Ave, Kansas City, MO 64139 Fax: 816-326-3463