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2018

SIGN UP HERE FOR CHLA CLINICS

PLEASE FILL OUT A SEPARATE FORM

WITH SPECIFIC DATES

FOR EACH PARTICIPANT

 $12 PER HOUR WITH ADVANCED SIGNUP

(24 HOURS NOTICE VIA E-MAIL OR INTERNET FORM).

$18 PER HOUR FOR WALKON (NO ADVANCE NOTICE-available only if teacher/student ratio permits).

Payment by Check (Todd Piker) or Paypal (tpiker@gmail.com) expected at attendance

* indicates required field
* Name of Participant:
Name of parent if Particpant is under 18:
AGE (if under 18):
* Please enter your e-mail address
If not  CHLA member please indicate sponsors Name
* Your Phone Number
 - 
Alternate Phone Number
 - 
*

Please Choose Clinic We will assign your level when you arrive. Please signup individually for each participant.

NOTE NEW START TIMES!

THANKS! ------>


* Identify dates you will be participating (example: 7/2,3). Also if you have any questions you can put them here. We will be in touch. --------->
 
 

 
 
 
 
 
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