Training Camp in New York | Legacy Training Center Register

We look forward to sharing our passion with you! Register for a class today by filling out the following form.

*All tuition and fees must be paid in full on the 1st of every month.

*Please note there will be a fee of $35 for bounced checks and late payments.

Payment options:

Student First name *

Student Last name *

Grade as of Sept. '22 *

D.O.B. *

Address (town, state, zip) *

Parent/Legal Guardian #1 Name *

Phone number #1 *

Parent/Legal Guardian #2 Name *

Phone number #2 *

Email address *

Emergency Contact *

Phone number *

Relationship to Child *

Please list any problems we should know about we should know about (health, physical, allergies etc.) *

Class #1 Day/Time *

Class #2 Day/Time

Class #3 Day/Time

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