Summer Camp Detailed Registration Form

Summer Clinic Registration
Athlete Information
Clinic Date Choice*
Athlete 1 Name*

First NameLast Name
Grade Level in Fall of 2025*
MaleFemale
Athlete 2 Name

First NameLast Name
Grade Level in Fall of 2025
MaleFemale
Parent/Guardian Information
Name*

First NameLast Name
Cell Number*
Format: (000) 000-0000.
E-mail*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Does the athlete have any allergies, chronic illness, or medical conditions? If yes, please describe.
Is the athlete prescribed an inhaler? If yes, please explain any instructions.

My Products*

Summer Clinic Registration

If registering more than 1 child, discount applies, and change the QTY to the number registering

$45.00 Quantity
Item subtotal:$0.00

Total

$0.00

Summer Clinic Registration