Registration Step 1

Contact Information

First name
Last name
Phone
Email
Confirm Email
Are you the Head Coach?
Create Account Password
Enter your account password again for verification

School Information

Please select your school's State and City:
State
City
Please select your school:
School

Billing Information

Please select your payment method below:
Amount Due
$119.00
Pay Method
By cIicking I Agree, Continue with Registration, I commit that I have the authority to act as an agent of the school or organization for which I am registering (or individually) for the full amount of this purchase and also agree to the Terms and Conditions of this purchase and Glazier Clinics Privacy Policy. I also understand that any cancellations must be made prior to the last day of clinics for the current season and that there are no refunds.