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Register For Weekday Clinics

Please note: this is a 12-week commitment. Weekday clinics take place on Mondays and Wednesdays, 6:30pm - 8:00pm.
Student Information
Student First Name*
Student Last Name*
Student Email*
Student Phone*
Student Date of Birth **
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Student Date of Birth
Student School
Student Rating*
Student Tournament Level*
Session*
- Fall (9/9/19 - 11/20/19)
- Winter (12/2/19 - 03/08/20)
- Spring (03/09/20 - 06/01/20)
Parent Information
Parent First Name*
Parent Last Name*
Parent Email*
Parent Phone*
*
Street Address City State ZIP Code
Emergency Contact
Emergency First Name*
Emergency Last Name*
Emergency Contact Email*
Emergency Phone*