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Number of Players*

Player 1 Information

Player 1 Name*

Player 1 Birthday*

Player 1 Age Division*

The division they will play in the upcoming Spring season.

Select Date for Clinic:

11/25

Player 2 Information

Player 2 Name*

Player 2 Birthday*

Player 2 Age Division*

The division they will play in the upcoming Spring season.

Select Date for Clinic:

11/25

Player 3 Information

Player 3 Name*

Player 3 Birthday*

Player 3 Age Division*

The division they will play in the upcoming Spring season.

Select Date for Clinic:

11/25

Player 4 Information

Player 4 Name*

Player 4 Birthday*

Player 4 Age Division*

The division they will play in the upcoming Spring season.

Select Date for Clinic:

11/25

Player 5 Information

Player 5 Name*

Player 5 Birthday*

Player 5 Age Division*

The division they will play in the upcoming Spring season.

Select Date for Clinic:

11/25

Parent/Guardian Information

Parent/Guardian First Name*

Parent/Guardian Last Name*

Parent/Guardian Phone*

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Parent/Guardian Email

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Checkout

Credit Card*

Card Details

Cardholder Name

Player 1 Fees

Player 2 Fees

Player 3 Fees

Player 4 Fees

Player 5 Fees

Total

Player 1 Information

Player 2 Information

Player 3 Information

Player 4 Information

Player 5 Information

Parent/Guardian Information

Checkout

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