Please check the clinic(s) that you would like to register for:

Name:  

Age:   Select 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19+

Address:  

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Zip:  

Phone:  

Email:  

T-Shirt Size:   Youth L Youth XL
  Adult S  Adult M  Adult L

Additional Comments or Questions:

  Champion Sports Academy, Inc., its director and staff, are not responsible for accidents resulting in medical, dental or other expenses. By checking this box, I certify that my child has had a recent physical and is in good health to take part in this activity.

Your registration is not final until we receive payment.
Please mail your registration fee to:

Champion Sports Academy
125 Clubhouse Lane
Northbridge, MA 01534