Junior Clinic Package Sign Up
Participant's Full Name
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First Name
Last Name
Participant's Date of Birth
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-
Month
-
Day
Year
Date
Participant's Gender
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Male
Female
Non-Binary
Prefer not to say
Parent/Guardian Name
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First Name
Last Name
Parent/Guardian Email
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example@example.com
Parent/Guardian Phone Number
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Please enter a valid phone number.
Emergency Contact: Full Name + Phone Number
*
Which Program do you plan to participate in:
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)
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 Sept)
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September Clinic Package
Clinics run from September 8th - September 30th. Please Select which day or days you plan to attend as part of your package.
$
Free
Please Select
Monday: Member
Monday: Non-Member
Sunday: Member
Sunday: Non-Member
Mon & Sun: Member
Mon & Sun: Non-Member
Tue & Thur: Powelton Programming
October Clinic Package
Clinics run from October 1st - October 30th. Please Select which day or days you plan to attend as part of your package. (this package includes free entry to US Open)
$
Free
Please Select
Monday: Member
Monday: Non-Member
Sunday: Member
Sunday: Non-Member
Mon & Sun: Member
Mon & Sun: Non-Member
Tue & Thur: Powelton Programming
November Clinic Package
Clinics run from November 1st - November 30th. Please Select which day or days you plan to attend as part of your package. (No programming on Thanksgiving Day)
$
Free
Please Select
Monday: Member
Monday: Non-Member
Sunday: Member
Sunday: Non-Member
Mon & Sun: Member
Mon & Sun: Non-Member
Tue & Thur: Powelton Programming
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