Apply Now | Hoopers Select Va

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Program Application

Participant First Name

Last Name

Email

Participant Birthday * required

School Name

Drop-in Sessions Only

Parent/Guardian Phone

Parent/Guardian Name

Select an item ($) *

Drop-in sessions - $25.00

Tuesdays & Thursdays - $185.00

Tuesdays Only - $100.00

Thursdays Only - $100.00

I have read, fully understand, and agree to the terms of the workout waiver.View workout waiver.

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