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Paid

Clinic Information

Please select an option for Saturday, April 11 and Sunday, April 12 on this form. Please note that once you have selected a date and time, we will be unable to adjust this option due to limited numbers being able to participate. No refunds will be issued. 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.

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

Thank you!

Player Information

Name
Birth Date
Select Saturday Session
Select Sunday Session

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!