Midcoast April Clinics Registration

This clinic is for girls grades 8-11 with all experience levels!

COST: $20 per clinic or attend both for $35!
DATES: April 22 & April 29
TIME: 1-3 PM
LOCATION: Bath YMCA – 303 Centre Street, Bath

Player Information

Player Name *

First

Last *

Last

DOB *

Best Email to Contact *

School Name *

Current Grade in School * Current Grade in School

Years of Playing (0 is ok) *

Have you participated a Maine Juniors event before? *

No

YesYes

If Yes, which event?

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

Select your clinic(s). *

April 22 - $20

April 29 - $20

Calculate Total

Discount for both clinics

Clinic Total

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