MSA Online Registration

 

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Thank You for Choosing MSA Programs

 

After Making the Paypal Payment for the selected program, Please Fill the registration form to enter your child information and Paypal payment ID. Then submit it to us. If you are registering more than one child, after submitting the first child's information, go back to our website and select "Enter Your Child Data" tab on the left hand side and fill the information for each additional child.

 

Once this transaction is completed a Paypal receipt for your purchase is emailed to you. You may log into your account at www.paypal.com/us to view details of this transaction.

* Required Field

Please provide the following Parent/Guardian contact information:

Name*
Street Address*
Address (cont.)
City*
State
Zip/Postal Code*
Country
Cell/Work Phone*
Home Phone*
E-mail*

  • Please identify the participant:

    First Name*
    Last Name*
    Date of Birth*
    Sex Male Female

  • Please provide the following Activity information:

    Please Select Activity Names*
           4.Please provide the following sports and enrichment information:
               Sport/Enrichment Name*

           5.Please provide the Location/School Attending information*:

     

                                                       

          

            6.Please provide the Paypal Payment ID Number* from your receipt & Payment Date*:

                     

     

            7.Please provide Any Additional information & request:

                     

     

       8. Parental Consent & Health Statement (Make sure You check this consent Button)*

    My child is covered by medical insurance and any special medical conditions will be stated. The Organizers and their representatives are not responsible for any injury or damage that may occur. I authorize session staff to act on my behalf in emergency. I agree to MSA’s- No refunds policy which states that only an MSA credit will be issued for future MSA activities.

    My Child/Children's Health is*

    Note: Programs, Locations, and Activities are subject to change due to circumstances beyond the control of MSA

                                                            

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    • Montgomery Sports Association Online Registration Form
    Copyright © 1999 MSA. All rights reserved.
    Revised: 05/08/08