Club Eclipse Volleyball Clinic Registration
Please complete the online registration form below. Please be sure to complete the necessary Club Eclipse Waiver.Thank you and GO ECLIPSE!!!

Location: 321 Hamburg Turnpike,
                  Wayne, NJ 07470

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Email *
Athlete's Name: *
Date of Birth: *
Cost $30 per session *
Clinic Dates & Times- Sundays (December 5th,12th and 19th) *
Name(s) of Parent(s): *
Parent's Email Address: *
Parent's Phone Number: *
Emergency Contact Name & Phone Number: *
Position (Check all that apply) *
Required
Club Experience (Years) *
Clubs Played for *
Is there any additional information that you would like us to know?
 REQUIRED DOCUMENTS- ALL FORMS MUST BE COMPLETED AND SUBMITTED WITH PAYMENT! Please check off forms when completed. *
Required
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