USNDP Clinic RegistrationFields marked with an * are required.error_outline Some fields contain errors Show {{form.showErrors ? 'Less' : 'More'}}keyboard_arrow_down {{error.field}} - {{error.message}} Clinic Date06/15/24 | 6pm - 10pm| Great American Hockey6pm - 8pm 8u 10u 12u8pm - 10pm 14u 16u 18uAge Group6pm - 8pm 8u 10u 12u8pm - 10pm 14u 16u 18uPlayer First NamePlayer Last NamePlayer Birth YearClub TeamShirt Size Adult Small Adult Medium Adult Large Adult X-LargePlease note: Any registrations after 4/1 will have their T-Shirts mailed to their address.PositionForwardDefenseGoalieParent PhoneParent EmailEmergency Contact NameEmergency Contact PhoneSignatureBy my signature below, I agree to abide by the rules of USARS National Inline Hockey Organization, USARS (USA Roller Sports) and the United States Olympic Committee (USOPC). SignatureFull NameSignarrow_drop_downGenerate from nameclearLoad signature fontClinic FeePrice$65.00Please click return to merchant after paying to finish submitting your application.Please note: Please enter Player Name in the "Merchant Notes" when checking out on PayPal.PaymentDiscountSubtotalTaxTotal USDSubmitThank you for registering. Please note, all players will be required to have an active RHA membership for any USNDP Clinic.
