First Name		Last Name
Address		City/State/Zip
Your Age		Email
School		Grade
Parent(s)		Phone
I am interested in attending the following clinic(s).  (Please check all you are interested in.)
Soccer, October 19 - noon to 2 pm		Volleyball, March 27 - 9 am to 11 am
Field Hockey, October 26 - noon to 2 pm		Soccer, April 25 - noon to 2 pm
Volleyball, January 10 - 9 am to 11 am		Field Hockey, May 2 - noon to 2 pm

Thank you for registering for the Girls Sports Clinics sponsored by NYSP and UMass Lowell Athletics.  You will receive confirmation on your application shortly. Should you need more information, please email me or call  978-934-2326. - Dahima James