Eclipse Academy Intermediate Boys Clinic Signup Form
Note: Intended for intermediate rising 7th/8th grader boys with prior school or club playing experience. This helps to ensure quality of play for all attendees.
Player Name
*
First Name
Last Name
Email
*
example@example.com
Grade
*
Please Select
6
7
8
Grades for fall of current calendar year
Select sessions
*
Select dates below (Click expand section to choose specific dates)
Click to expand and fill out select dates to attend
Single session
5/27 (boys 5-7pm cubberley)
Single session
5/28 (boys 5-7pm cubberley)
Single session
5/29 (boys 5-7pm cubberley)
Single session
5/30 (boys 5-7pm cubberley)
Single session
6/3 Tue ( boys 5-7pm cubberley)
Single session
6/7 sat ( 1-3pm sunnyvale comm center)
Single session
6/8 sun ( 1-3pm sunnyvale comm center)
Single session
6/11 wed ( 4-6pm cubberley)
Single session
6/14 ( 1-3pm sunnyvale comm center)
Single session
6/15 (1-3pm sunnyvale comm center)
Single session
6/22 Sun (1-3pm sunnyvale comm center)
Single session
6/28 Sat (1-3pm sunnyvale comm center)
Single session
6/29 Sun (1-3pm sunnyvale comm center)
Single session
7/5 Sat (1-3pm sunnyvale comm center)
Single session
7/6 Sun (1-3pm sunnyvale comm center)
Single session
7/12 Sun (1-3pm sunnyvale comm center)
Single session
7/13 Sun (1-3pm sunnyvale comm center)
Single session
7/19 Sun (1-3pm sunnyvale comm center)
Single session
7/20 Sun (1-3pm sunnyvale comm center)
Single session
7/27 Sun (1-3pm sunnyvale comm center)
Single session
12/20 sat (1-3pm sunnyvale comm center)
Single session
1/4 sun (1-3pm sunnyvale comm center)
Single session
1/25 sun (1-3pm sunnyvale comm center)
Single session
2/1 sun (1-3pm sunnyvale comm center)
Single session
2/8 sun (1-3pm sunnyvale comm center)
Single session
2/15 sun (1-3pm sunnyvale comm center)
Single session
2/22 sun (1-3pm sunnyvale comm center)
Single session
3/1 sun (1-3pm sunnyvale comm center)
Single session
3/8 sun (1-3pm sunnyvale comm center)
Single session
3/15 sun (1-3pm sunnyvale comm center)
Single session
12/21 sun (1-3pm sunnyvale comm center)
Type a question
12/13
Appointment
end
First time participant?
*
New
Returning
Click to fill out if first time participant
Phone Number
Please enter a valid phone number.
Position 1
*
Please Select
setter
middle blocker
outside
libero
Position 2
Please Select
setter
middle blocker
outside
libero
Age
numerical value only
Last Club team
*
eg. Eclipse 14-1
Height
*
School
eg. 7th grade school team
Gender
Please Select
Boy
Girl
Back
Next
Medical Waiver (parent or guardian signature)*
*
I hereby authorize the Eclipse Volleyball club staff to act for me according to their best judgment in any emergency requiring medical attention. I hereby waive and release Eclipse Volleyball club, its staff, its coaches and volunteers, from any and all liability for any injuries, illnesses or lost property incurred while at tryouts. I have no knowledge of any physical impairment that would be affected by the above named player s participation in these tryouts. My initials on this waiver also states that the named player is covered by my personal medical insurance policy. This waiver of liability expressly includes transportation to and from, or in conjunction with, said Eclipse Volleyball Club Clinics.
COVID19 Guideline
The FDA has formally approved the COVID-19 vaccine. COVID-19 vaccines are free, safe, and effective. We strongly recommend participants to receive them. We may require vaccine records in the future to enroll into long term programs.During clinics, practices, we also - strongly recommend players to wear masks- mandate players to skip practice if tested positive for COVID19 in last 10 days, or FDA recommended quarantine period.- wash/clean hands before practice.Parents, guardians, please initial below to acknowledge your understanding our our guidelines. Thanks
How did you hear about us
Please Select
Teammate/friend referral
Flyers or email ads
Google search
Social Media
Other
If friend referral, pls name
My Products
*
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Eclipse Academy clinic
Choose specific dates above and pay accordingly
$
60.00
Quantity
1
2
3
4
5
6
7
Item subtotal:
$
0.00
10 Sessions package
on going basis
$
530.00
Quantity
1
2
3
4
5
6
7
Item subtotal:
$
0.00
Payment Methods
Debit or Credit Card
Choose from one of the PayPal options to
make your payment.
Submit
Should be Empty: