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2007 PISA Youth Program Registration

Fields marked with an * are required

 

Child Name *
Age Group *       Date of Birth *

 

 

   

Check One *

Boy       Girl
   
Check One *

PISA Premier  opt 1       PISA Premier  opt 2
Pups 18mos to 3yrs       Cubs age 3 & 4       Cubs age 5 & 6
Flag Football age 6-10 5:55-6:50PM                                                        Flag Football age 6-10 6:50-7:45PM
Flag Football ages 10-14

Flag Football Camp 6/25 - 6/29      Flag Football Camp 8/6 - 8/10


Youth Developmental Lacrosse


Back to Basics Weeks:
6/25 - 6/29          7/09 - 7-13          7/23 - 7/27
7/30 - 8/03          8/06 - 8/10

 
Parents Name *
Address *
City * Zip *  
Home Phone * Ofc Phone *  
Cell Phone E-Mail  

 Fee's

Youth Developmental Lacrosse $100

 

There are three ways to register.

     
1. Print form and mail with $100 deposit to: Pittsburgh Indoor Sports Arena  
  220 Rich Hill Road  
  Cheswick, PA 15024  
     
2. Print form and fax to 412-820-7658 and then call 412-820-0657 for credit card payment
     

3. Click on Send Form and call 412-820-0657 for credit card payment

 

 

Fee's

 Youth Flag Football (1st and 2nd Session $100) (3rd Session $55)

PISA Premier Option 1:$100 (Training Only) Option 2: $195 (Option 1 plus game)

Soccer Cubs: $100 for 10 sessions

 Soccer Mom’s Fitness $60 for 8 Sessions

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