Pop to Pro REGISTRATION FORM

** PARENTAL PARTICIPATION
PARENTS ARE PERMITTED TO ATTEND ON DAY 2 OF THE CONFERENCE FROM 3:00 PM - 8:30 PM
This will include: The Event Expo, Awards Ceremony, and Closing Reception
One (1) Parent Admission is INCLUDED in the Student Registration Fee ($25.00)
Any additional parent/adult/child (over 8yrs of age) will be required to pay a fee of $10 to attend the Day 2 events

"Pop to Pro"
2011 Youth Athletic & Academic Conference (CONFERENCE DETAILS)

REGISTRATION INFORMATION
Student must be MALE between the ages* of 10-18 years of age to participate
(*special allowance is made for 8 & 9 year olds who are currently playing a sport or attending the conference with a sibling who is at least 10 years old)
COACHES & EDUCATORS CLICK HERE TO REGISTER

PARTICIPANT INFORMATION

PARTICIPANT (Student) NAME *

First

Last

Age *

Date of Birth (Participant) *

Address *

Line 1

Line 2

City

State

Zip Code

Country

SPORT(s) PLAYED *

SIBLING INFORMATION (if attending)

SIBLING NAME (If attending) *

First

Last

Age *

Date of Birth (Sibling) *

Address (If different from sibling listed above) *

Line 1

Line 2

City

State

Zip Code

Country

SPORT(s) PLAYED *

PARENT INFORMATION

Parent/Guardian Name *

First

Last

Phone Number *

Email *

Name of Parent/Guardian Attending Conference *

First

Last

Phone Number *

Special Comments *

Complete Registration

**CUSTOMER SERVICE:
If you are experiencing any difficulty completing your application, please call us at 646-431-9891
and a representative will assist you at no charge.

"Pop to Pro"2011 Youth Athletic & Academic Conference (CONFERENCE DETAILS)

REGISTRATION INFORMATIONStudent must be MALE between the ages* of 10-18 years of age to participate(*special allowance is made for 8 & 9 year olds who are currently playing a sport or attending the conference with a sibling who is at least 10 years old)COACHES & EDUCATORS CLICK HERE TO REGISTER

PARTICIPANT INFORMATION

SIBLING INFORMATION (if attending)

PARENT INFORMATION

"Pop to Pro"
2011 Youth Athletic & Academic Conference (CONFERENCE DETAILS)

REGISTRATION INFORMATION
Student must be MALE between the ages* of 10-18 years of age to participate
(*special allowance is made for 8 & 9 year olds who are currently playing a sport or attending the conference with a sibling who is at least 10 years old)
COACHES & EDUCATORS CLICK HERE TO REGISTER