November 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 *

Camper's Age *

Camper's Grade *

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

Please check the box below if you would like to purchase a 10 Session Pass: *

10 Session Pass

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. 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