Register

You can now pay for the Saturday and Sunday Clinics and Travel Team Online!

View the 2018 schedule here 

Please register your child using either the online form at the bottom of this page or by filling out this PDF Registration Form and emailing it to amurray1484@aol.com.

Click on the appropriate group below and follow the link to pay online using Paypal.

 

PAY ONLINE

TRAVEL TEAM

Click here to pay for the travel team online!

 

SATURDAY CLINICS

9-11 years old




12-14 years old






14-18 years old






Pay As You Go






SUNDAY CLINICS






ONLINE REGISTRATION FORM

APPLICANT INFORMATION

Name (required)

Address (required)

Email (required)

Telephone (required)

Date of Birth (required)

Grade (required)

School (required)

EMERGENCY CONTACT INFORMATION

Name (required)

Address (required)

Email (required)

Telephone (required)

Relationship (required)

HEALTH QUESTIONNAIRE

(Information contained in this section is optional and will be kept strictly confidential)

List any medical problems that doctors have diagnosed

List your prescribed drugs and over-the-counter drugs, such as vitamins and inhalers

Allergies to medications (name the drug/reaction you had)

Briefly describe your child's personality in 2-3 sentences

Please leave this field empty.