Pre Tryout Clinics
Player Name
*
First Name
Last Name
Birthday
*
-
Month
-
Day
Year
Date
Position
*
Please Select
F
D
G
D/F
Parent Name
*
First Name
Last Name
Parent Email
*
example@example.com
Parent Phone
*
Please enter a valid phone number.
Team trying out for
*
Location
*
Please Select
Carlsbad
Riverside
Westminster
Date & Time of Clinic
*
-
Month
-
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Calculation
*
Total
*
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next
( X )
USD
Description
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Comments
Submit
Should be Empty: