INTERMEDIATE ALL SKILLS CLINIC (poweralley.ca)

INTERMEDIATE ALL SKILLS CLINIC

THIS CLINIC IS FOR PLAYERS BETWEEN THE AGES OF 10 AND 13.

Player Name^*

Required

Player Address^*

Required

City, Postal Code^*

Required

Contact Phone Number^*

Required

Contact Email Address^*

Required

Player's Date of Birth^*

Required

Parent's Name ^*

Required

I UNDERSTAND THAT I AM REGISTERED MY CHILD FOR THE INTERMEDIATE ALL SKILLS CLINIC. DATES OF THE CLINIC ARE January 6, 13, 20, 27, February 3

1. I agree that I am registering for this clinic and that I will be contacted regarding payment of the $135^*

YES

Required