Player Registration for Fall Clinic 1&2

Parent / Legal Guardian Name *

First

Last

Parent / Legal Guardian Email *

Player Name *

First

Last

Date of Birth *

Entering Fall Grade *

Current School *

Program Option *

* 10% Discount to Returning Players from Summer Clinic/Travel. 10% Family Discount (2 kids or more). Both can't be combined.

Daily and 2 Day Trial Dates (Please write Dates below)

MYBA Practice Jersey $25 (Optional)

Payment Option *

Please write any Medical Conditions and Allergies

Comment / Questions