Summer Clinic Registration

Summer Clinic Dates: Tuesday/Thursday beginning July 7
6:30PM - 8PM 5th - 9th Grade ($100)

* Indicates required field

Camper Name *

First

Last

Emergency Contact *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Emergency Phone Number *

Primary Email *

Anything we need to know? *

2020/21 School Year Grade *

Pinnie/Uniform Size *

I have read the health and waiver information *