25-26 Junior Clinic Packages

Participant's Full Name*

First NameLast Name

Participant's Date of Birth*

Date

Participant's Gender*

MaleFemaleNon-BinaryPrefer not to say

Parent/Guardian Name*

First NameLast Name

Parent/Guardian Email*

example@example.com

Parent/Guardian Phone Number*

Please enter a valid phone number.

Emergency Contact: Full Name + Phone Number*

Please select the monthly package/s that you wish to sign up for, and select the day or days you plan to attend in the drop down for each month. (Pricing is based on the # of classes during the date range per month e.g. 4 Mondays in January & 3 Sundays)

Strive - March Clinic Package

Clinics run March 2nd - March 29. Please Select which day or days you plan to attend as part of your package.

$133.00 Please select your prefered day/s

Aspire - March Clinic Package

Clinics run from February 1st - March 1st. Please Select which day or days you plan to attend as part of your package.

$171.00 Please Select your prefered day/s

Strive - April/May Clinic Package

Clinics run April 6th - May 18th. Please Select which day or days you plan to attend as part of your package.

$233.00 Please select your prefered day/s

Aspire - April/May Clinic Package

Clinics run from April 6th - May 18th. Please Select which day or days you plan to attend as part of your package.

$300.00 Please Select your prefered day/s

Girls Clinic

Clinic funs from April 9th - May 7th (5 week package at special rate). Thursday clinic 6:30 - 7:30pm

$200.00 Quantity

Total

$0.00

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Which Program do you plan to participate in:

Spark Junior Clinic: Sunday at 10:00am (Under 8)Strive Junior Clinic: Monday 4:00pm - 5:15pm & Sunday 10:00am - 11:00am (Older Beginners Juniors - middle school and up)Aspire Junior Clinic: Monday 5:15pm - 6:30pm & Sunday 11:00am - 12:00pm (Intermediate Junior Squad)

Signature*

Junior Clinic Package Sign Up