Academy Registration Player Name * First Name Last Name Birthday MM/DD/YYYY Are you currently a Rise player? YES NO Parent Name * First Name Last Name Email * Parent Phone Number * Emergency Contact and Phone Number * Allergies/Medical Conditions Credit Card Number or Member Number * CVV Exp Date Name As On Card By checking the box below, I authorize Rise Academy to charge the credit card or member number at this time and in the future as agreed to with Rise Academy and by this registration. I agree that I am the responsible party and in checking the box below, I agree to be responsible for and pay all fees associated with this program. * I AGREE Congratulations and welcome to the Rise Academy. Our sessions begin August 25. See you on the court!
