Patch Summer Clinics Registration Form

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Patch Summer Clinics Registration Form

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* Indicates required question

Email *

Your email

First Name *

Your answer

Last Name *

Your answer

Clinic(s) Attending *

Patch Middle School Clinic, 7/29-8/2

Patch High School Tryout Prep, 8/12-8/16

Required

School *

Your answer

Parent/Guardian First Name *

Your answer

Parent/Guardian Last Name *

Your answer

Parent/Guardian Email *

Your answer

Parent/Guardian Phone Number

Your answer

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