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<script LANGUAGE=JAVASCRIPT TYPE="text/javascript" >

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function _CF_onError(form_object, input_object, object_value, error_message)
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       	return false;	
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function _CF_hasValue(obj, obj_type)
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        {

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            {

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            }

        }


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        {

        if  (!_CF_onError(_CF_this, _CF_this.Address, _CF_this.Address.value, "You must enter an address."))

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        {

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            }

        }


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        {

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        }


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        {

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            {

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        {

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            {

            return false; 

            }

        }


    return true;

    }


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</head>
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<table width="100%" height="100%" border="0" cellpadding="0" cellspacing="0">
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// Advanced Random Images Start
// Copyright 2001-2002 All rights reserved, by Paul Davis - www.kaosweaver.com
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}

// Advanced Random Images End
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            <table border="0" cellpadding="0" cellspacing="0" width="180">
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              <tr> 
                <td><img src="../menu/images/spacer.gif" alt="" name="undefined_2" width="180" height="1" border="0"></td>
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                <td><a href="../about/index.htm" target="_top" onClick="MM_nbGroup('down','navbar1','sidemenu_r2_c1','../menu/images/sidemenu_r2_c1_f3.gif',1);" onMouseOver="MM_nbGroup('over','sidemenu_r2_c1','../menu/images/sidemenu_r2_c1_f2.gif','../menu/images/sidemenu_r2_c1_f4.gif',1);" onMouseOut="MM_nbGroup('out');"><img name="sidemenu_r2_c1" src="../menu/images/sidemenu_r2_c1.gif" width="180" height="19" border="0" alt=""></a></td>
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                <td><a href="../gallery/index.htm" target="_top" onClick="MM_nbGroup('down','navbar1','sidemenu_r7_c1','../menu/images/sidemenu_r7_c1_f3.gif',1);" onMouseOver="MM_nbGroup('over','sidemenu_r7_c1','../menu/images/sidemenu_r7_c1_f2.gif','../menu/images/sidemenu_r7_c1_f4.gif',1);" onMouseOut="MM_nbGroup('out');"><img name="sidemenu_r7_c1" src="../menu/images/sidemenu_r7_c1.gif" width="180" height="19" border="0" alt=""></a></td>
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                <td>&nbsp;</td>
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            <table width="160" border="1" align="center" cellpadding="20" cellspacing="0" bordercolor="#825B31">
              <tr> 
                <td background="../images/bck.jpg"> 
                  <p class="alternatelink"><a href="index.htm">Interested 
                    in becoming part of our PlyoCity Youth Team? </a></p>
                  <p class="alternatelink"><a href="../about/contact.cfm">Click 
                    here to<font color="#FFFFFF"> </font>contact us!</a></p>
                </td>
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            <p>&nbsp;</p></td>
          <td valign="top"> 
            <table width="100%" border="0" cellpadding="10" cellspacing="0" bgcolor="#FFFFFF">
              <tr> 
                <td background="../images/titleback.gif" class="MainHeading">Register 
                  with PlyoCity </td>
              </tr>
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                <td valign="top"> <p> 
                    <script language="JavaScript">breadCrumbs("www.plyocity.com",">","index.cfm","smallText","smallTextPurple","smallTextPurple","0");</script>
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			  <table width="100%" border="0" cellspacing="0" cellpadding="0">
                <tr> 
                  <td nowrap><span class="MainHeadingOrange">Registration: </span> 
                    <p></p></td>
                  <td width="280" valign="top">&nbsp; 
				    
			      </td>
                </tr>
                <tr> 
                  <td colspan="2">
					  
				    <table width="100%" border="0" cellpadding="5" cellspacing="0">
                      <tr> 
                         <td colspan="4" bgcolor="#FFCC33" class="contnparaBOLD">Athlete Registration (Items in bold are required)</td>
                      </tr>
						  
<FORM NAME="CFForm_1" ACTION="ConsentForm.cfm" METHOD=POST onSubmit="return _CF_checkCFForm_1(this)">
  <tr>
    <td valign="top" width="50%">
      <table width="100%" border="0" cellpadding="2" cellspacing="0">
        <tr bgcolor="#FFFFCC">
          <td align="right"><strong>Athlete's Name</strong></td>
          <td align="left"><INPUT TYPE="Text" NAME="Name" MAXLENGTH="40"></td>
        </tr>
        <tr bgcolor="#FFFFCC"> 
          <td align="right"><strong>Home Address</strong></td>
          <td align="left"><INPUT TYPE="Text" NAME="Address" MAXLENGTH="40"></td>
        </tr>
        <tr bgcolor="#FFFFCC"> 
          <td align="right"><strong>City</strong></td>
          <td align="left"><INPUT TYPE="Text" NAME="City" MAXLENGTH="25"></td>
        </tr>
        <tr bgcolor="#FFFFCC"> 
          <td align="right"><strong>State</strong></td>
          <td align="left"><select name="State">
            <option value="">-- State --</option>
	        <option value="AL">Alabama</option><option value="AK">Alaska</option><option value="AZ">Arizona</option><option value="AR">Arkansas</option><option value="CA">California</option><option value="CO">Colorado</option><option value="CT">Connecticut</option><option value="DE">Delaware</option><option value="DC">District of Columbia</option><option value="FL">Florida</option><option value="GA">Georgia</option><option value="HI">Hawaii</option><option value="ID">Idaho</option><option value="IL">Illinois</option><option value="IN">Indiana</option><option value="IA">Iowa</option><option value="KS">Kansas</option><option value="KY">Kentucky</option><option value="LA">Louisianna</option><option value="ME">Maine</option><option value="MD">Maryland</option><option value="MA">Massachusetts</option><option value="MI">Michigan</option><option value="MN">Minnesota</option><option value="MS">Mississippi</option><option value="MO">Missouri</option><option value="MT">Montana</option><option value="NE">Nebraska</option><option value="NV">Nevada</option><option value="NH">New Hampshire</option><option value="NJ">New Jersey</option><option value="NM">New Mexico</option><option value="NY">New York</option><option value="NC">North Carolina</option><option value="ND">North Dakota</option><option value="OH">Ohio</option><option value="OK">Oklahoma</option><option value="OR">Oregon</option><option value="PA">Pennsylvania</option><option value="RI">Rhode Island</option><option value="SC">South Carolina</option><option value="SD">South Dakota</option><option value="TN">Tennessee</option><option value="TX">Texas</option><option value="UT">Utah</option><option value="VT">Vermont</option><option value="VA">Virginia</option><option value="WA">Washington</option><option value="WV">West Virginia</option><option value="WI">Wisconsin</option><option value="WY">Wyoming</option>
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			<input type="hidden" name="State_required" value="You must select a state."></td>
        </tr>
        <tr bgcolor="#FFFFCC"> 
          <td align="right"><strong>Zip</strong></td>
          <td align="left"><INPUT TYPE="Text" NAME="Zip" SIZE="11" MAXLENGTH="10"></td>
        </tr>
        <tr bgcolor="#FFFFCC"> 
          <td align="right"><strong>Home Phone</strong></td>
          <td align="left"><INPUT TYPE="Text" NAME="HomePhone" SIZE="15" MAXLENGTH="14"></td>
        </tr>
        <tr bgcolor="#FFFFCC"> 
          <td align="right">Work Phone</td>
          <td align="left"><INPUT TYPE="Text" NAME="WorkPhone" SIZE="15" MAXLENGTH="14"></td>
        </tr>
        <tr bgcolor="#FFFFCC"> 
          <td align="right"><strong>Payment Type</strong></td>
          <td align="left"><select name="PmtType">
            <option value="">-- Payment Type --</option>
	        <option value="AMX">American Express</option><option value="ECK">Electronic Check</option><option value="BMC">MasterCard</option><option value="BVC">Visa</option>
            </select>
			<input type="hidden" name="PmtType_required" value="You must select a payment type."></td>
        </tr>
	  </table>
	</td>
    <td valign="top" width="50%">
      <table width="100%" border="0" cellpadding="2" cellspacing="0">
        <tr bgcolor="#FFFFCC">
          <td align="right"><strong>Parent/Guardian</strong></td>
          <td align="left"><INPUT TYPE="Text" NAME="Guardian" MAXLENGTH="40"></td>
        </tr>
        <tr bgcolor="#FFFFCC"> 
          <td align="right"><strong>E-mail</strong></td>
          <td align="left"><INPUT TYPE="Text" NAME="Email" MAXLENGTH="40"></td>
        </tr>
        <tr bgcolor="#FFFFCC"> 
          <td align="right"><strong>Age</strong></td>
          <td align="left"><INPUT TYPE="Text" NAME="Age" SIZE="4" MAXLENGTH="3"></td>
        </tr>
        <tr bgcolor="#FFFFCC"> 
          <td align="right"><strong>Height</strong></td>
          <td align="left"><INPUT TYPE="Text" NAME="Height" SIZE="7" MAXLENGTH="6">&nbsp;(i.e. 4-10)</td>
        </tr>
        <tr bgcolor="#FFFFCC"> 
          <td align="right"><strong>Weight</strong></td>
          <td align="left"><INPUT TYPE="Text" NAME="Weight" SIZE="4" MAXLENGTH="3"></td>
        </tr>
        <tr bgcolor="#FFFFCC"> 
          <td align="right"><strong>Sport</strong></td>
          <td align="left"><select name="SportID">
            <option value="">--  Sport --</option>
	        <option value="20">Badmitton</option><option value="3">Baseball</option><option value="2">Basketball</option><option value="21">Cheerleading</option><option value="17">Diving</option><option value="11">Field Hockey</option><option value="1">Football</option><option value="14">Golf</option><option value="12">Gymnastics</option><option value="10">Ice Hockey</option><option value="24">Ice Skating</option><option value="23">Lacross</option><option value="25">Martial Arts</option><option value="6">Other</option><option value="18">Rugby</option><option value="4">Soccer</option><option value="9">Softball</option><option value="16">Swimming</option><option value="8">Tennis</option><option value="13">Track</option><option value="5">Volleyball</option><option value="15">Water Polo</option><option value="22">Weight Lifting</option><option value="19">Wrestling</option>
            </select>
			<input type="hidden" name="SportID_required" value="You must select a sport."></td>
        </tr>
        <tr bgcolor="#FFFFCC"> 
          <td align="right">School</td>
          <td align="left"><INPUT TYPE="Text" NAME="School" MAXLENGTH="50"></td>
        </tr>
        <tr bgcolor="#FFFFCC"> 
          <td align="right"><strong>&nbsp;</strong></td>
          <td align="left">&nbsp;</td>
        </tr>
      </table>	
	</td>
  </tr>
  <tr>
    <td colspan="2" bgcolor="#FFCC33" class="contnparaBOLD">Program:</td>
  </tr>
  <tr>
    <td colspan="2" bgcolor="#FFFFCC">
      
	    <input name="ProgID" type="radio" value="12" checked><font class="MainHeadingPurple">Gold Individual Program:</font> This is for athletes who wish to train once a week utilizing any PlyoCity facility.<br>
	    $89.00 per month + 1 time fee of $75.00.<br>
	    $164.00 initial payment + $89.00 per month or $431.00 for 4 months.<br>
        <br>
	  
	    <input name="ProgID" type="radio" value="1" ><font class="MainHeadingPurple">Gold Team Program:</font> This is for teams or groups of 5 or more who wish to train 2 or 3 times per  week utilizing any PlyoCity Facility.<br>
	    $125.00 per month + 1 time fee of $75.00.<br>
	    $200.00 initial payment + $125.00 per month or $575.00 for 4 months.<br>
        <br>
	  
	    <input name="ProgID" type="radio" value="2" ><font class="MainHeadingPurple">Platinum Individual Program:</font> This is for athletes who wish to train 2 or 3 times per week utilizing any PlyoCity Facility.<br>
	    $150.00 per month + 1 time fee of $75.00.<br>
	    $225.00 initial payment + $150.00 per month or $675.00 for 4 months.<br>
        <br>
	  
	    <input name="ProgID" type="radio" value="3" ><font class="MainHeadingPurple">Platinum Team Program:</font> This is for teams or groups of 40 or more who wish to train 2 or 3 times per week utilizing any PlyoCity Facility.<br>
	    $50.00 per month + 1 time fee of $75.00.<br>
	    $125.00 initial payment + $50.00 per month or $275.00 for 4 months.<br>
        <br>
	  
    </td>
  </tr>
  <tr>
    <td colspan="2" bgcolor="#FFCC33" class="contnparaBOLD">Class:</td>
  </tr>
  <tr>
    <td colspan="2" bgcolor="#FFFFCC">
      <select name="ClassID">
        <option value="">-- Class --</option>
	    
	    <option value="1">Tuesday, Thursday, Sunday from 5:00-6:00 pm - Saddleback College</option>
	    <option value="2">varies - Oceanview High School</option>
	    <option value="4">Varies - Covina High School</option>
	    <option value="5">Varies - Corona Del Mar High School</option>
	    <option value="6">Varies - Carson High School</option>
	    <option value="7">Varies - Esperanza High School</option>
	    <option value="8">Varies - Dana Hills High School</option>
	    <option value="9">Varies - El Toro High School</option>
	    <option value="10">Varies - Foothill High School</option>
	    <option value="11">Varies - Golden West College</option>
	    <option value="12">Varies - Long Beach Wilson High School</option>
	    <option value="13">Varies - Diamond Bar/ Lorbeer Junior High School</option>
	    <option value="14">Varies - Fountain Valley Highn School</option>
	    <option value="15">Varies - Northwood High School</option>
	    <option value="16">Varies - Orange Coast College</option>
	    <option value="17">Varies - Palm Desert/College of the Desert</option>
	    <option value="18">varies - Rosary High School</option>
	    <option value="19">Varies - San Clemente High School</option>
	    <option value="20">Varies - Sonora High School/ Brea NJB</option>
	    <option value="21">Varies - Upland High School</option>
	    <option value="22">Varies - Woodbridge High School</option>
	    <option value="23">Varies - Los Alamitos High School</option>
	    <option value="24">Varies - Capistrano Valley High School</option>
	    <option value="25">Varies - Corona Centennial High School</option>
	    <option value="26">Varies - Costa Mesa High School</option>
	    <option value="27">Varies - Servite High School</option>
	    <option value="28">Varies  - Trabuco Hills High School</option>
	    <option value="29">Varies - Marina High School</option>
	    <option value="30">Varies - Edison High School</option>
	    <option value="31">Varies - Redondo Union High School</option>
	    <option value="32">Varies - Glendora High School</option>
	    <option value="33">see web site for days and times. - American Sports Center</option>
      </select>
	  <input type="hidden" name="ClassID_required" value="You must select a class."><br>
    </td>
  </tr>  
  <tr>
    <td colspan="2" align="center"><input type="submit" value=" C o n t i n u e  ------>"></td>
  </tr>
</FORM>

                    </table></td>
 		  
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