Register for summer 2025 *Please only register once Name * First Name Last Name Birthdate * MM DD YYYY Grade * School * Parent/Guardian(s) Name * Parent's Cell Phone * (###) ### #### Parent's Email * Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Which clinic(s) do you plan to attend? Please email us regarding any changes. June 7th 9:00-10:15 June 28th 9:00-10:15 July 12th 9:00-10:15 July 19th 9:00-10:15 July 26th 9:00-10:15 Thank you for completing the registration process!
