Bethany Women's Lacrosse Winter Tune-Up Clinic Registration

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Email address *

First Name *

Last Name *

Address *

Phone Number *

High School

Club Team

High School Graduation Year *

Position

Interested Major

Tune Up Clinic - Bethany, W.Va. -$30 per session or $100 for all four *

January 27, 2019 (4-6 p.m.) February 3, 2019 (4-6 p.m.) February 10, 2019 (4-6 p.m.) February 17, 2019 (4-6 p.m.)

Current Colleges Attending: Chatham and Wheeling Jesuit

OPEN TO 9th-12 GRADE PLAYERS

Method of Payment *

*Payment also will be accepted at registration on the day of the event

Cash Check

Please make checks out to 'Bethany College Women's Lacrosse' and mail to:

BETHANY COLLEGE Women's Lacrosse

31 E Campus DR

BETHANY, WEST VIRGINIA, 26032

*Payment will also be accepted at registration on the day of the event

Other comments/needs/medical concerns

General Release: I hereby release and waive any possible claim against Bethany College, Bethany Women's Lacrosse and its staff, and any other persons associated with the clinic or any and all damages, injuries, and/or lose of equipment that my child may sustain in the course of the program or while traveling to or from the clinic.

Electronic Signature *

Parent/Guardian Full Name *

Date *

* required field

Bethany Women's Lacrosse Winter Tune-Up Clinic Registration