Skip to content
Chichi Gonzalez
Junior Diamond Club by Chi Chi Gonzalez LLC “Baseball”
First name
Last name
Student Gender
Male
Female
Other
Student's Birthdate
Student's Grade in School
Aftercare or Pick-Up
Aftercare
Pickup
Authorized Pick-Ups
Parent Name
First Name
Last Name
Parent's Email
Parent's Primary Phone Number
Additional Phone Numbers
Teacher Name
Notes for Teacher
Session
Session 1 FALL $295 (10 weeks - Tuesday Aug. 25, Sept. 1, Sept. 8, Sept. 15, Sept. 22, Sept. 29, Oct. 6, Oct. 13, Oct. 20 and Oct. 27.)
Parent Waiver
I hereby release and agree to indemnify and hold harmless: Chi Chi Gonzalez LLC, Palm Beach County Schools, Calusa Elementary and all instructors from any liability and against any and all claims resulting from participation in this program, with my knowledge that by participating in this activity my child assumes risk of injury. I also hereby give permission to Chi Chi Gonzalez LLC to use and display any photographs taken of my child, which may be forwarded to newspapers and other publications in which the photograph would be associated with Chi Chi Gonzalez LLC
Parent Signature
Payment
How would you like to pay?
Zelle
Venmo
Send