Name:*
First Name Required
Last Name Required
Student First Name:*
Student First Name is Required
Student Last Name:*
Student Last Name is Required
Student Age :*
Student Age is Required
Date of Birth (MM-DD-YY):*
Date of Birth (MM-DD-YY) is Required
Cell Phone Number:*
Cell Phone Number is Required
Select Sport(s):*
Select Sport(s) is Required
Tackle Football
Basketball
Cheer
Flag Football
Baseball
Kickball
Soccer
Golf
Skateboards
Track and Field
Email:*
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Password:*
Invalid Password
Password Confirmation:*
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Password Strength
Password must be "Medium" or stronger
Encrypted Credit Card Processing
I Agree to the Consent, Waiver and No Refund Policy
*
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Pay Prince George's Bears - PG Bears
$75 / Month
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Terms:
$75 / Month
2 Children Per Month – Initial Payment
$75 / Month
$75.00
Total
$75.00
