O-LINE CLINIC CAMP Online Registration Form:
Please be sure to fill out this form as completely as possible to ensure proper registration.
(Payments by CreditCard and PayPal only.)
After you have filled in all the required information, checked the camp/s you want to attend,
PLEASE read the entire bottom of this page CAREFULLY before clicking the 'submit' button. THANK YOU!
| First Name: | Last Name: |
| Address: | City: |
| State: | Zip: |
| Phone: | Cell Phone: |
| Email Address: | Permanent Email Address: |
| Parents' Names: | |
| Height: | Weight: |
| Year of Graduation: | High School Name: |
| City: | State: |
| Coach's Name: | Coach's Phone: |
- 1. O-LINE CLINIC CAMP - Phoenix - March 29-30 Clinic Camp now closed for 2008
- 2. O-LINE CLINIC CAMP - Los Angeles - April 12-13 JSerra HS, 26351 Junipero Serra Road, San Juan Capistrano, CA
- 3. O-LINE CLINIC CAMP - Las Vegas - April 19-20 Palo Verde HS, 333 Pavillion Center Dr., Las Vegas, NV
- 4. O-LINE CLINIC CAMP - Chicago - May 3-4 St. Xavier University, Chicago, IL
- 5. O-LINE CLINIC CAMP - Dallas - May 17-18 North Texas University, Denton, TX
- 6. O-LINE CLINIC CAMP - Minneapolis-St.Paul - May 31-June 1 Minnetonka HS, Minnetonka, MN
- 7. O-LINE CLINIC CAMP - Milwaukee - June 7-8 Carroll College, Waukesha, WI
- 8. O-LINE CLINIC CAMP - Seattle - July 11-12 Bothell HS, Bothell, WA **Camp Closed for 2008
To sign up for private or group instruction choose as indicated:
TYPE OF INSTRUCTION
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AREA of INTEREST: (Check all that apply) Run Game (1 HR) Pass Game (1 HR) Position Specific Weight Training (1 HR) Run/Pass Combo Package (1.5 HRS) |
| LOCATION OF INSTRUCTION:
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| TIME OF INSTRUCTION: |
| Hold Harmless / Notice of Insurance (CLICK HERE to read) Insured by: Policy Number: |
| Payment Method: Credit Card / PayPal This field must be filled. Refund Policy (CLICK HERE to read) |
| Comments: Use this space for submitting any pertinent information that you feel we need to be aware of regarding your attendance at our O-LINE Clinic Camps. Thank you! |
| PLEASE REVIEW THE ABOVE INFORMATION before submitting this form. If you have any questions, feel free to call us today at (262) 549-9010. We look forward to you joining us at one of our clinic camps! PRINT THIS PAGE for your records before clicking on the "Submit Form" button. AFTER you click on the Submit Form button you will automatically be taken to a page where you will be able to pay for your O-LINE clinic camp with credit card or Paypal or make a deposit. A full payment or $150 deposit ($250 deposit for a Team) is REQUIRED to secure your clinic camp / instructions space. Due to unforeseeable acts of Nature, camps may have to be rescheduled! |