TAV Fall Jump Start Clinics Registration Form

* Required fieldsClick here to return Jump Start

Name *
Date of Birth *

E-Mail *
Address *
City *
State *

Zip Code *
School *
Grade *

Position
Team name
Home Phone *
Cell Phone
Emergency Contact Name *
Emergency Contact Phone *

Please select the dates you want to attend

Date	Type	Price ($)
September 4th	Individual	35
September 11th	Individual	35
September 18th	Individual	35
September 25th	Individual	35
October 2nd	Individual	35
October 16th	Individual	35
October 23rd	Individual	35

Players will be assigned to the following clinics based upon the grade used upon registration:

Volley Futures 4th-6th
Junior High Elite 7th-8th
High School Elite 9th

Discount Options

All September Dates $130
All October Dates $100
All Dates $220

Total ($)

Please remember that while attendance is not mandatory, there are no refunds given and all times are subject to change without notice.