Player Registration for Spring Clinic 1&2

Parent / Legal Guardian Name *

First

Last

Parent / Legal Guardian Email *

Player Name *

First

Last

Date of Birth *

Current Grade *

Current School *

Program Option *

* 10% Discount applicable only to Returning Players that attended 8 classes or more of previous clinics and camps

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