Clinics Form - ACX Forms

What would you like in this clinic? *

Preferred Date *

Secondary Date *

(if preferred date is not possible)

Third Date

(if preferred date is not possible)

Duration *

Away from ACX camps minimum two hours.

Number of Athletes (1 Hour)

Number of Athletes (2 Hours)

Number of Athletes (3 Hours)

Number of Athletes (4 Hours)

Location of Clinic *

ACX Gym - $0.00
My School - $150.00

A $150 fee will be added for any clinics booked outside of the ACX facilities

Address of Preferred Clinic Location *

Address Line 1

Address Line 2

City

State

Zip Code

Extra Instructions

Please let us know in the comment section above where on campus you'd like to hold your clinic. For instance, "the cafeteria", "the main gym", "enter thru the main entrance", "drive around back", etc.

Program Name *

Team Name *

Your Name *

First

Last

Email *

Phone *

Billing Address *

Address Line 1

Address Line 2

City

State

Zip Code

Total

$0.00

CLINICS

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