Parent Name *

First Name

Last Name

Player Name *

First Name

Last Name

Phone

(###)

###

####

What is your ideal start time? *

4:00pm

4:30pm

5:00pm

5:30pm

Stanford clinics currently run at $110 per clinic (2 hours). Would you pay this? *

Yes

No

Would you prefer if fitness was included and the clinic ran for 2.5 hours at an additional cost? *

Yes

No

How many days per week would you ideally attend this clinic?

1

2

3

4

5