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SOUTH BEACH VOLLEY

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First Name

Last Name

Address

Phone Number

Email

Parent or Guardian if under 18 yo

I ACKNOWLEDGE THAT I HAVE READ AND AGREE TO THE PROVISIONS IN THE WAIVER OF LIABILITY AND INDEMNIFICATION.View Waiver

PAYMENT

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Clinic (Miami Beach Residents) - $51.50

Clinic (Non-Miami Beach Residents) - $77.25

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