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O-LINE CLINIC CAMP Online Registration Form:

Please be sure to fill out this form as completely as possible to ensure proper registration.


credit card logo (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 TEAM CLINIC CAMP - Phoenix
  • 2. O-LINE TEAM CLINIC CAMP - Los Angeles
  • 3. O-LINE TEAM CLINIC CAMP - Las Vegas
  • 4. O-LINE TEAM CLINIC CAMP - Chicago
  • 5. O-LINE TEAM CLINIC CAMP - Dallas
  • 6. O-LINE TEAM CLINIC CAMP - Minneapolis-St.Paul
  • 7. O-LINE TEAM CLINIC CAMP - Milwaukee
  • 8. O-LINE TEAM CLINIC CAMP - Seattle
Don't see a Team CC (Clinic Camp) near you... contact me!

O-LINE Team Clinic Camp Registrants:
           If you are registering as part of a team for Team Clinic Camp Instruction;
           enter the name of your team here: . Thank you!

To sign up for private or group instruction choose as indicated:

TYPE OF INSTRUCTION     
  • A. O-LINE Private 1 on 1 Instruction
  • B. O-LINE Small Group Instruction (2-4 Athletes)
  • C. O-LINE Mid-Group Instruction (5-10 Athletes)

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:     

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!