Hammer Kicking Academy  

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Contact Information

PLEASE COMPLETE THE FIELDS BELOW TO COMPLETE REGISTRATION.  FOR CAMP, PLEASE INCLUDE THE NUMBER OF THE CAMP NAME OR ONE ON ONE LESSONS.  AFTER YOU SUBMIT REGISTRATION YOU WILL RETURN TO THE HOME PAGE AND YOU WILL RECEIVE AN ORDER CONFIRMATION EMAIL WITH AN INVOICE WITHIN 24 HOURS. IF A CREDIT CARD IS REQUIRED THERE IS A 3 PERCENT FEE.  THANKS FOR YOUR INTEREST IN THE HAMMER KICKING ACADEMY.

First Name:
Last Name:
Address Street 1:
City:
Zip Code: (5 digits)
State:
Camp Name:
Daytime Phone:
Email:
Position (K/P/LS):
1.Shirt Size
2.High School/College



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