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Paid

Clinic Information

FOR MEMBERS ONLY- please select Saturday and/ or Sunday for your option to work with Eric Steele. We will send out a spreadsheet with times as we get closer to April 11. This will allow you flexibility to choose an option prior to your spring schedules being released.

Times will be 9-11am, 11:30am-1:30pm, 3:30-5:30pm for ages 8-15. Groups will be age appropriate.

On the check out page, please select 1 Block  ($70) if you have only registered for one session or 2 Blocks ($140) if you have selected two.

Thank you!

Player Information

Name
Birth Date

Medical Information

Does child have any medical condition that affect performance, or in which we should be aware?
Player/Child Address

Parent Information (Parent #1)

Name
Is Primary Phone
Is SecondaryPhone
Email
Do you want to include Parent #2 Contact Information?
Information for parent #2 is not required, but is helpful for communications and in event on emergencies.

Emergency Contacts

Name Emergency Contact #1
Name Emergency Contact #2

Policies

Accept Release of Liability

Please read and agree to our Release of Liability agreement. You must accept the agreement before your child can participate in our programs.

Accept Photo Policy

Please read and agree to our Photo Policy. You must accept our photo policy before your child can participate in our programs.

Photo Policy

Level 5 Athletics takes photos at many clinics, camps and sessions. Unless expressly cited in writing to exclude my child, I understand that the images may be used in Level 5 publications and marketing materials.

Submission & Registration Fee

Registration Fee

After completing this form, you will be redirected to our payment portal. Please remember that registration is not complete until payment is received. Sessions are $70 per session.

Thank you!