www.wvsportsplex.com
Kick It, Hit It, Throw It - All Day Long!

 

 

 

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TPS Summer Clinic Registration Form

All fields with a * are required

Parent's Name:*
Child's Name:*

Home Phone:*
Work Phone:
E-Mail:*
Address:*
Apt #:
City:*
State:*
Zip Code:*
Birth Date:*

 (ex. 10/03/1995)
Clinic #:*

 .... Not sure?
Shirt Size:*
Training Ball : * Yes  No
   

Registration Fees:

$50– Micro Clinic (age 5-7)
$70– Beginner Clinic (age 8-10)
$85– Intermediate Clinic (age 11-14)

$70 - Clinic #10 and #12
$85 - Clinic #11 and #13

$12 - Training Soccer Ball
   
. Secure Credit Card Payment
   
Pay With:*
Card #:*
Expiration Date:*



We will contact you with a follow up call within 48 hrs.