Youth Clinic Registration

Dates: January 2nd and 3rd 9am-12pm

Location: Pacifica Christian HS 1750 Wilshire. Blvd. Santa Monica, CA

Grade: 3rd-8th Grade

Gender: Boys and Girls

Athlete Full Name (s) *

Parent's Full Name *

Parent Email *

Parent's Phone *

Age & Grade *

Which day are you registering for?

January 2nd

January 3rd

Both days

Waiver and Liability Release and Photo Release Form: I acknowledge that I have read and understand the Waiver and Liability Release + Photography Consent.

If registering for both days below choose a quantity of 2.

One Day Camp

One Day of BTG Half-Day Camp

$100

$75