1-Day Clinic Registration and Medical/Waiver Forms

Each player must complete a 1-Day clinic registration form, and a clinic medical/waiver form in order to participate at this clinic.

CLINIC 1

Name *

Name

First Name

Last Name

Home Address *

Home Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Email Address *

Phone

(###)

###

####

School

Graduating Year *

ENTER YOUR HS GRADUATION YEAR (ie, 2017, 2018, 2019)

Primary Position

Enter the primary position you play (F, M,D, G)

SAT/ACT Score

enter your SAT Math, Verbal, total /ACT total score

Sports Team

Height

Weight

Shirt Size *

Parent Name

Parent Contact Information