BIWPA USA Clinics 2024-25

USA Clinics 2024-25

Nov 25 - 27 @LosAltos | Nov 29 - Dec 1 @Connecticut | Dec 26 - 29 @Dallas | Jan 2 - 5 @Chicago
Parent/Guardian Information

Please, submit only one form per participant
Parent/Guardian Full Name*

First NameLast Name
Parent/Guardian Email*
example@example.com
Parent/Guardian Phone*

Country CodePhone Number
Athlete Information
Athlete Full Name*

First NameLast Name
Date of Birth*

MonthDayYear
Date
Position*
Club*
Age Group*

High School (2009 & Older)Development (2010 - 2012)
Age Group*
T-shirt size

2XSXSSMLXL2XL3XL
Payment and Permissions

Camps Available*

NorCal Fall Camp (last spots!)November 25 - 27 | Co-ed Ages: Development (2010 - 12) & High School (2009 & Older) | Los Altos, CA

$395.00

Connecticut Camp (last spots!)Nov 29 - Dec 1 | Co-ed Ages: Development (2010 - 12) & High School (2009 & Older) | Connecticut College

$450.00

Dallas Winter CampDecember 26 - 29 | Co-ed Ages: Development (2010 - 12) & High School (2009 & Older) | Southlake, TX

$450.00

Chicago New Year's CampJanuary 2 - 5 | Co-ed Ages: 12u, 14u, 16u, and 18u | Chicago, IL (Lyons Township High School)

$545.00

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Subtotal

$0.00

Tax

$0.00

Total

$0.00

I, Parent/Guardian Name* Parent/Guardian Last Name* , grant permission for Athlete Name* Athlete Last Name* to be photographed, filmed, or recorded during this program. I understand these images may be used by BIWPA, SL for promotional purposes. I release BIWPA, SL from any liabilities.
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USA Clinics 2024-25