New England Elite Youth Clinic

NE Elite Youth Clinic
Add a Shirt or Shorts (Optional)!
Add a T-Shirt ($20)

None Small Medium Large XL 2XL Youth S Youth M Youth L
Quantity
Add Shorts ($30)

None Small Medium Large XL 2XL Youth S Youth M Youth L
Quantity
Elite Player Information
Full Name *

First Name Last Name
E-mail (for receipt) *
School *
Graduating Class *
Phone Number *

Area Code Phone Number
Twitter Handle
Position
Offense
Defense
Kick Game
Address Information
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Parent Information
Parent Name *

First Name Last Name
Emergency Phone Number *

Area Code Phone Number
Insurance Company & Policy Number *
Parent Email *
Parent Phone Number *
Policies
Payment
Registration Fee
T-Shirt Cost
Shorts Cost
Total Cost
Total Due

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USD Total Due
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