Clinic Registration

Walker Beach Academy
Registration Form

* Indicates required field

Athlete's Name *

First

Last

Parent/Guardian's Name *

First

Last

Email *

Parent Cell Phone Number *

Athlete's Age *

Athlete's Grade *

Athlete's School/Club *

If there is another player(s) you would like to be grouped with please list their names here: *

Date(s) Attending *

Sun. 10/15 6-8pm Sat., 10/21 6-8pm Sun. 10/22 10am-12pm

Please click "Submit" button below:

An invoice will be emailed to you once we have processed your registration.

A medical release form will be emailed to you if you do not already have one on file. A completed form must be on file for participation.

Please remember to click the "Submit" button.

Thank you!

Submit

Walker Beach Academy​ Registration Form

Walker Beach Academy
Registration Form