2018 Early Season Skills Clinics Registration & Confirmation

This is the payment for the 2018 Early Season Skills Clinics with coach Jon Roberts.

In accordance with the Maine Principal’s Association Off-Season rules, players from Scarborough that intend to play in the High School program next year are not eligible to attend the clinics with Coach Roberts. We apologize for any inconvenience this MPA rule creates and will be working to offer similar clinics in early 2018 that will allow these players to participate.

DATES:

LOCATION: Maine Sports Arena*

*(12/10 Blocking Clinic will be held at Biddeford Middle School, 25 Tiger Way, Biddeford, ME)

Player Information

Player Name *

First

Last *

Last

DOB *

Best Email to Contact *

Select Clinic *

01/07/18 - Middle Hitter Skills

School Name *

Current Grade in School * 9 10 11 12

Years of Playing *

Maine Juniors Player? *

Yes

No

Which MJ Team? *

Current Position *

Libero/DS

Setter

Outside Hitter

Right Side Hitter

Middle Blocker

Current Secondary Position *

Libero/DS

Setter

Outside Hitter

Right Side Hitter

Middle Blocker

Medical Information

Please provide and explain any health concerns or allergies we should be aware of. *

(N/A if none)

Has the player had any recent injuries? If so, please explain. *

(N/A if none)

Primary Emergency Contact

Emergency Contact Name *

Cell Phone *

(999) 999-9999

Home Phone

(999) 999-9999

Second Emergency Contact

Emergency Contact Name *

Cell Phone *

(999) 999-9999

Home Phone

(999) 999-9999

Clinic Total

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