TEAMS Registration

$50.00

    Student Information:

    Student's First Name: Student's Last Name:

    Student's Birthdate:

    Student's Age (as of September 1, 2020):

    Parent's First Name: Parent's Last Name:

    Address:

    City: State: Zip Code:

    Home Telephone:

    Daytime: (Work/Cell)

    Parent/Guardian Email:

    Student's Email (if applicable):

    Emergency Contact Name:

    Emergency Contact Number:

    Emergency Contact Relationship to Student:


    T.E.A.M.S. After School Program Tuition Fees

    Offered Daily, Monday - Friday, 2:30pm-6pm

    I would like to enroll by child for:

    1 Day/Week ($40 Weekly)2 Days/Week ($75 Weekly)3 Days/Week ($100 Weekly)4 Days/Week ($135 Weekly)5 Days/Week ($170 Weekly)

    *Sibling Discount: 2nd Child 10% discount; each additional child, 5% discount

    Check the Days that you would like to enroll:

    MondayTuesdayWednesdayThursdayFriday


    T.E.A.M.S. Transportation - School Pick Up Information

    I would like to have my child picked up from school.My child will not require transportation.

    School Name:


    Loudoun Sports Training Terms and Conditions

    LST Terms and Conditions Relating to Code of Conduct, Liability, and Facility Protocols

    I have read and agree to the Loudoun Sports Training Terms and Conditions


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