Z - 14 and Under National Skills Clinic Registration This form provides a record to Advancement Academy to register for our 14 and Under National Skills Clinic. It also provides the option to make your payment by credit card through Payapl or via check. If choosing to pay via Paypal, it will redirect you to PayPal to complete the processing of the payment. Please note that there is a 4% handling charge when paying through Paypal. Those wishing to pay by check, should select that choice and submit their payment to the club promptly. Player Information Athlete Name * First Athlete Name * Last 2016-2017 Club Season Age Group * 12U 13U 14U Select the age group that this athlete will participate in for the upcoming club season. Position for Skills Training * Hitting Passing (Defense) Setting This clinic will be focused on enhancing skills at a specific position. We will limit enrollment based on position selection. Please select the skill you wish to work on during this clinic. Contact Information Contact Name * First Contact Name * Last Contact Email * Contact Phone Number * Additional Info Provide any additional information here. Waiver of Liability I, individually and as the parents(s) or guardian(s) of athlete named above, a minor, ask that he/she be admitted to participate in this event sponsored by the Advancement Academy. In partial consideration for the participation of his/her child in A2 Fall leagues does hereby waive, release and forever discharge Advancement Academy, its’ agents and employees, from any/all injury or damages sustained by the participant child or his parents, during participation. In addition, the undersigned does hereby agree to indemnity and save harmless the host damage whatsoever arising from the participation of his/her child in the above mentioned activities, including but not limited to negligence of said child. By checking YES below, I agree to the Waiver of Liability above * Yes Payment Information Specify how you prefer to make your payment * Payment via Paypal (additional 4% handling charge) Payment via Check Clinic Amount (US $) Cost of the Program(s) Paypal Handling Fee Separate handling fee (in US $) for credit card/Paypal transactions Total Cost Total amount (in US $) you will pay Payment Instructions If you selected "Payment via Paypal", upon clicking the Submit button, you will be sent to PayPal to complete the transaction. PayPal is a leader in online transaction processing and ensures your transaction is handled securely. Note that Advancement Academy does NOT see your credit card information since the transaction is handled entirely by PayPal. Once you complete your payment through PayPal, payment notification will then come directly from PayPal and serve as your receipt. If you cancel your transaction upon reaching PayPal, you will not receive credit for payment and you must pay via check or through our Club Payment tab on the website. If you selected "Payment via Check", please make your check payable to Advancement Academy and mail to the following address: Advancement Academy Volleyball Club 459 Orange Point Drive, Suite C Lewis Center, Ohio 43035 Captcha If you are human, leave this field blank.