Cheer & Dance College Prep Clinic Registration Form
HOW TO REGISTER

1. Read the registration information in its entirety.

2. Collect $40 per person for registration.

FREE for WSU Students

3. Payment can be submitted with registration form. If you are paying with a check on the day of the clinic, make your check payable to WSU Spirit Program. A $25 returned check fee will be charged for each insufficient check. Payment must be resubmitted with a credit card or cashier's check only.

4. We accept Visa, Master Card and Discover which is the preferable payment method. Check payments may be mailed separately or brought to the clinic on the day of the event with a submission of an online registration form.

Mail to:

WSU CHEER-DANCE COLLEGE PREP CLINIC
ATTENTION: SPIRIT COORDINATOR
3640 COLONEL GLENN HIGHWAY
DAYTON, OH 45435
937-775-7281
FAX 937-775-2368


5. FINAL Confirmation will be e-mailed five (5) days prior to the clinic.

6. NO refunds will be granted; must receive written cancellation before the actual clinic date.

7. E-mail questions to Spirit Coordinator at joyce.whitaker@wright.edu.

Required Fields in Bold

 
Contact Information

Total Number of Participants
 
Name of Individual
 
Hometown and State
 
Name of Contact Person
 
Home Address of Contact Person
 
Home Phone
 
Work Phone
 
Fax
 
 
E-Mail Address
 
 
Calculation of Registration Payment

WSU Student? (This clinic is FREE for WSU Students)
 
Yes
No
Total Fees (One Session) # of Athletes x Athlete Fee
 
Payment Authorization

Payment Method
 
Check Paid by Mail
Check Paid at Door
Credit Card - Preferred Payment Method
Debit/Check Card - Preferred Payment Method
Clinic Type
 
Cheer College Prep Clinic
Dance College Prep Clinic
 
Clinic Selection Dates

Select Your College Prep Clinics Dates
 
Sunday, March 12, 2017 - New Student Clinic
Monday, March 20, 2017 - WSU Current Student Clinic
Wednesday, March 22, 2017 - WSU Current Student Clinic
Thursday, April 21, 2017 - All Student Types Clinic
Payment Authorization Form for Credit/Debit Card
Please mail your completed payment form to: Wright State Spirit Program 3640 Colonel Glenn Hwy. Dayton, OH 45435 or bring it with you on the day of the event
 
Before submitting this form, we suggest printing it for your records. A copy of the form will also be e-mailed to you.

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