2008 REGISTRATION FORM


This form is for non-secure fax-only or postal mail registration.

Click Here for a SECURE on-line registration form.

Select the type of registration you want
Single Clinic-Individual Single Clinic-Staff Season Pass-Individual Season Pass-Staff

For Season Pass registration, check all clinics you wish to attend.

Pre-Registration Prices
Which Clinic(s) are you registering for?
Check all clinics you plan to attend
Single Clinic Season Pass
Can attend any or all clinics
Includes Glazier Clinic Online
Pre-registration Deadline
Individual Staff Individual Staff
Glazier Clinic Season Pass   N/A N/A $200.00 $650.00
** Atlanta, GA Extreme...Jan 24-26 2008   $85.00 $529.00 $200.00 $650.00 11-Jan-2008
** Atlanta, GA Galleria...Feb 8-10 2008   $110.00 $545.00 $200.00 $650.00 24-Jan-2008
** Atlantic City, NJ MEGA...Feb 28-Mar 1 2008   $98.00 $395.00 $200.00 $650.00 11-Feb-2008
** Baltimore, MD...Feb 15-17 2008   $110.00 $545.00 $200.00 $650.00 30-Jan-2008
** Boston, MA...Feb 8-10 2008   $110.00 $345.00 $200.00 $650.00 25-Jan-2008
** Charlotte, NC...Feb 21-23 2008   $110.00 $545.00 $200.00 $650.00 4-Feb-2008
** Chicago, IL Glazier...Mar 7-9 2008   $110.00 $545.00 $200.00 $650.00 21-Feb-2008
** Chicago, IL MEGA...Feb 7-9 2008   $98.00 $395.00 $200.00 $650.00 22-Jan-2008
** Cincinnati, OH...Feb 21-23 2008   $110.00 $545.00 $200.00 $650.00 4-Feb-2008
** Cleveland, OH...Mar 6-8 2008   $110.00 $395.00 $200.00 $650.00 19-Feb-2008
** Costa Mesa/So-Cal...Feb 29-Mar 2 2008   $110.00 $545.00 $200.00 $650.00 13-Feb-2008
** Dallas, TX...Feb 22-24 2008   $110.00 $345.00 $200.00 $650.00 7-Feb-2008
** Denver, CO...Feb 14-16 2008   $110.00 $545.00 $200.00 $650.00 28-Jan-2008
** Destin, FL...Feb 15-17 2008   $110.00 $345.00 $200.00 $650.00 31-Jan-2008
** Grand Rapids, MI...Feb 21-23 2008   $110.00 $545.00 $200.00 $650.00 5-Feb-2008
** Houston, TX...Feb 14-16 2008   $110.00 $545.00 $200.00 $650.00 28-Jan-2008
** Indianapolis, IN...Jan 24-26 2008   $110.00 $545.00 $200.00 $650.00 11-Jan-2008
** Kansas City, MO...Feb 14-16 2008   $110.00 $545.00 $200.00 $650.00 29-Jan-2008
** Lancaster, PA SVS...Mar 13-15 2008   $80.00 $395.00 $200.00 $650.00 27-Feb-2008
** Madison, WI...Feb 14-16 2008   $110.00 $345.00 $200.00 $650.00 29-Jan-2008
** Memphis, TN...Feb 14-16 2008   $110.00 $345.00 $200.00 $650.00 30-Jan-2008
** Minneapolis, MN...Feb 22-24 2008   $110.00 $545.00 $200.00 $650.00 8-Feb-2008
** NYC/North Jersey...Feb 21-23 2008   $110.00 $545.00 $200.00 $650.00 6-Feb-2008
** Phoenix, AZ...Apr 11-13 2008   $110.00 $545.00 $200.00 $650.00 26-Mar-2008
** Pittsburgh, PA...Feb 7-9 2008   $110.00 $395.00 $200.00 $650.00 23-Jan-2008
** Sacramento, CA...Feb 8-10 2008   $110.00 $245.00 $200.00 $650.00 23-Jan-2008
** Seattle, WA...Feb 15-17 2008   $110.00 $545.00 $200.00 $650.00 1-Feb-2008
** St. Louis, MO...Feb 28-Mar 1 2008   $110.00 $545.00 $200.00 $650.00 12-Feb-2008
** Toledo, OH...Feb 14-16 2008   $110.00 $395.00 $200.00 $650.00 31-Jan-2008
** Tulsa, OK...Feb 7-9 2008   $110.00 $345.00 $200.00 $650.00 24-Jan-2008

** These clinics are no longer accepting on-line registrations. You must register on site.

Must be postmarked or received by the deadline for pre-registration prices. After pre-registration deadline and for onsite registrations, $10 per individual registration or $50 per staff registration has been included in the prices above. Glazier Clinics receives a commission on some hotel rooms purchased by attendees. Glazier Clinics reserves the right to refuse admittance and/or remove any individual from a clinic at its sole discretion. Badges may not be sold or transferred.

NO REFUNDS.


School Name:

*

Contact Name:

*

Address:

*
City, State, Zip: *

Daytime Phone:

* (999-999-9999)

Evening Phone:

(999-999-9999)

Fax Number:

(999-999-9999)

Email Address:

*

* Entries required

Check here if you need a registration confirmation – you must include your Email Address.


PAYMENT INFORMATION:

Check enclosed. Make checks payable to: MEGA CLINIC
Purchase order, PO#:
Pay by Credit Card

Check one: VISA MASTERCARD DISCOVER

Name on card:

Billing address:

Billing city, state, zip:

, ,

Card Number (16 digits):

Sec. code:

Exp. date:

Signature:

Amount:

(Numbers only)

PLEASE PHOTOCOPY AND WRITE ON FOR ADDITIONAL COACHES

Name(s) of Coaches you are Purchasing a Registration for (#1 being Primary Contact):
  Coach Name
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.

Courtesy of Riddell, youth coaches attend free. Please enter your local youth league president's name and phone.

President's Name Phone

Comments:
 

SEND OR FAX FORM TO:

Frank Glazier Clinics / MEGA CLINIC
P.O. Box 63673
Colorado Springs, CO 80962-3673
(888) 755-6427 or (719) 536-0069
FAX (719) 536-0073


Copyright ©2008, MEGA Clinics, LLC