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Hitting Clinic Summer 2018

May 16, 2018 by Coach Arlen

Hitting Clinic- Summer 2018
Open to Girls & Boys 7-17

If registering multiple players, please submit this form for each player.
Hitting Clinic Friday June 22- $30
Friday June 22, 6:30-8:30pm at Mahiko Gym. It will be $30 per player, per session.
Hitting is one of the hardest skills to master. We will be breaking down all the components of a spike.. We will be working on specific mechanics of hitting. Breaking down in detail the foot movement, timing, arm moving, and approach to the ball..
Price: $30.00 Quantity:
Hitting Clinic Friday June 29- $30
Friday June 29, 6:30-8:30pm at Mahiko Gym. It will be $30 per player, per session.
Hitting is one of the hardest skills to master. We will be breaking down all the components of a spike.. We will be working on specific mechanics of hitting. Breaking down in detail the foot movement, timing, arm moving, and approach to the ball..
Price: $30.00 Quantity:
Hitting/Setting Clinic Friday July 20- $30
Friday July 20, 6:30-8:30pm at Mahiko Gym. It will be $30 per player, per session.
Hitting is one of the hardest skills to master. We will be breaking down all the components of a spike.. We will be working on specific mechanics of hitting. Breaking down in detail the foot movement, timing, arm moving, and approach to the ball..
Price: $30.00 Quantity:
Hitting/Setting Clinic Friday July 27- $30
Friday July 27, 6:30-8:30pm at Mahiko Gym. It will be $30 per player, per session.
Hitting is one of the hardest skills to master. We will be breaking down all the components of a spike.. We will be working on specific mechanics of hitting. Breaking down in detail the foot movement, timing, arm moving, and approach to the ball..
Price: $30.00 Quantity:
Hitting Clinic Friday August 24- $30
Friday, August, 6:30-8: 30 pm at Mahiko Gym. It will be $30 per player, per session.
Hitting is one of the hardest skills to master. We will be breaking down all the components of a spike.. We will be working on specific mechanics of hitting. Breaking down in detail the foot movement, timing, arm moving, and approach to the ball..
Price: $30.00 Quantity:
Player Info:
Are you registering a second (or more) player?
If you have filled out the entire form for your first child, you can skip some information.
- No, I am filling this form out for the first time.
- Yes, I have filled out the entire form for one player and I'm registering multiple players.
Player's Name*
Player's School:
What school does this player attend?
Player's Gender:*
- Male
- Female
Player's Age:*
Please enter a value between 1 and 20.
Player's Birthdate:*
Player's T-Shirt Size:*
- Youth Small
- Youth Medium
- Youth Large
- Adult Small
- Adult Medium
- Adult Large
- Adult XL
Liability & Media Waiver:
KEIKI OPIO VOLLEYBALL ACADEMY (KOVA) LIABILITY AND MEDIA WAIVER:

By digitally signing, I agree to fully discharge and do forever release, acquit, discharge Keiki Opio Volleyball Academy (KOVA) or practice facility owners, and it's officers, agents, servants, employees, and organizers from injuries, including death, damage, or loss which my child may accrue on account of participation.

I herby authorize the personnel of Keiki Opio Volleyball Academy to take any necessary steps for the required medical treatment for said child/ward. I hereby forever release, Keiki Opio Volleyball Academy from any and all liability for any medical or dental treatment decision made for the treatment of the child/ward. I also give Keiki Opio Volleyball Academy to take photos and video of my child for promotional, educational, news, and public purpose only in print and/or electronic media. It is my responsibility to notify the Keiki Opio Volleyball Academy in writing if I do not wish to have my child photographed or videotaped.
Emergency Contact:*
Emergency Contact Cell Phone:*
Secondary Emergency Contact:
Secondary Emergency Contact Cell Phone:
Insurance Company & Policy Number:
Dental Company & Policy Number:
Medical Conditions and Allergies:
Please list all medical conditions and allergies.
Digital Signature:*
Please fill in your full name as your digital signature.
Parent (Guardian) Information:
Please give us some contact information in case we need to get a hold of you.
Father/Guardian:
First Last
Father/Guardian Email:
Father/Guardian Cell Phone:
Mother/Guardian:
First Last
Mother/Guardian Email:
Mother/Guardian Cell Phone:
Payment Information:
Credit Card Holder's Name:*
First Last
Email*
Address*
Street Address City State ZIP Code
Credit Card*

American Express
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Visa
Card Number Expiration Date Security Code Cardholder Name
Total
$0.00
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Contact Info:

Alicia Nobriga-Antonio
94–510 Lumiaina St. #R-102
Waipahu, HI 96797

Antonio.mala13@icloud.com

781-1693

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