Please complete the following application. Do not leave any space blank. If a space does
not apply to you please enter N/A. Thank you.
Date
Jr. Magic Basketball
Baseball Academy
Triathlon
Tennis Academy
Golf Academy
Parents Name
Last
 First
Parents Name
Last
 First
Child's Name
 Age
Last
 First
Age
Last
 First
Age
Last
 First
Age
Last
 First
Address
Street
 City
State
Zip
Phone
Work
Home
 Cell
Area Code
 Area Code
 Area Code
Emergency
Contact
Home
Area Code
Last
 First
Someone other than yourself we can contact in case of emergency.
Child's shirt size
Child's shirt size
Child's shirt size
Child's shirt size
Upon completion of this application a  fee is required to register your child. This will guarantee your discount and
secure your child's spot. Please send check or money order to:               
Make check payable to:         PROtential Sports
                                               19046 Bruce B Downs Suite 83
                                               Tampa, FL 33647

Or pay with Credit Card after submitting information
  
Please review your answers
and make sure every space
is filled. Then submit.
Email        example tom@aol.com
Email        example tom@aol.com
Registration  Form