COME OUT & PLAY > ULTIMATE
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Clinic Request
School
Name:
Street Address:
e.g. 10 Main St.
City, Postal Code:
Teacher Sponsor
First & Last Name:
Email:
Phone:
Clinic Details
Field location:
grass fields are best
Requested date
and start time:
please provide more than one option
to accomodate scheduling conflicts
Requested duration:
1 hour
2 hours
3 hours
half day
full day
Number of participants:
20-30
31-40
41-50
51-70
71-100
100+
at least 20 players are required for an effective clinic
Participant skill level:
beginner
intermediate
advanced
Payment:
My school can contribute $100 towards the cost of the clinic.
I need an invoice for the contribution.
If your school cannot contribute, please briefly explain why.
Expectations:
What are your expectations and goals for this clinic?