Sign Up for Clinic

 

Please complete the form below in addition to making payment on the Right

Player Name *
Player Name
Address *
Address
Home Phone *
Home Phone
Cell Phone
Cell Phone
Player Date of Birth *
Player Date of Birth
Parent/Gaurdian Name *
Parent/Gaurdian Name
Parent/Gaurdian Phone *
Parent/Gaurdian Phone
Clinic Date *
Clinic Date
Choose the date you would like to participate.
Feel free to contact if you have any questions.
 

The clinic cost $40 per player. Please make payment above.

 

 

 Only players who have paid and filled out the ABOVE form will be permitted to participate. THANK YOU!