Clinic Registration

Summer 2025 Clinics Registration

Player Info

First Name *

Last Name *

Email *

Date of birth *

Age *

Gender *

Male

Female

Phone *

Address *

City *

State *

Postal code *

School *

Shirt SIze *

Parent/Guardian 1 Info

Parent/Guardian 1's First Name *

Parent/Guardian 1's Last Name *

Parent/Guardian 1's Relation *

Parent/Guardian 1's Cell *

Parent/Guardian 1's Email *

Parent/Guardian 2 Info

Parent/Guardian 2's First Name

Parent/Guardian 2's Last Name

Parent/Guardian 2's Relation

Parent/Guardian 2's Cell

Parent/Guardian 2's Email

Session Selection

Summer Clinic 2025 Selection *

Full Name

Jack & Jill Clinic Summer 2025 Selection *

Jack & Jill of All Skills Clinic High School Confirmation Summer 2025 (Grades 9-12)
Jack & Jill of All Skills Clinic Middle School Confirmation Summer 2025 (Grades 6-8)
No elements found. Consider changing the search query.
List is empty.

Website

Position Clinic Summer 2025 Selection *

Monetary 15jb

$

Skills Training Clinic Summer 2025 Selection *

Registration isn't complete until payment has been received!