After the pre-registration deadline and for onsite registration, the Individual Season Pass is $109 and the Staff Season Pass is $349.

Season Pass includes everything listed below.

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

Must be postmarked or received by the deadline of the first clinic you plan to attend 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.

Should acts of God, war, government regulations, mass illness or epidemic, disaster, strikes, civil disorder, curtailment of transportation facilities, or other emergency make it inadvisable, illegal or impossible to hold the clinic(s), 125 online webinars will be presented.

NO REFUNDS.

School Name:	*
Head Coach Name:	*
Head Coach Email Address:	*
Contact Name:	*
Contact Email Address:	*
Address:	*
City, State, Zip:	AL AK AZ AR CA CN CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY AB BC GR JP MB MX NA NB NS ON PR QC VI *
Work Phone:	* (999-999-9999) Ext.
Cell Phone:	(999-999-9999)
Fax Number:	(999-999-9999)
Billing Email Address:	*
	* Entries required

Is your school planning to install a new turf field in the next 12 months? Yes  No

How much does your program raise in fundraising annually?
Over $5,000
$5,000 or less

Are you planning a major weight room project in the next 2 years? Yes  No

Is your program planning to purchase:
a headset system? Yes  No
video editing software? Yes  No

Are you interested in cost effective HD editing? Yes  No

PAYMENT INFORMATION:

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):

I confirm that all the coaches listed above coach at the named school or affiliated junior high school. Each coach must present a photo ID at each clinic. (Please click the checkbox)

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

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

By submitting this registration form, the registrants and their school expressly release the Frank Glazier Clinics, its agents and employees from, and agree to indemnify, defend and hold harmless each of them from, all liability (damage or accident) which might ensue from any cause resulting from or connected with the application of materials or ideas presented by clinic speakers.

Clicking Create Faxable Page below will send your basic contact information to Frank Glazier Clinics. NOTE that NO payment detail information will be sent over the network and you will still need to fax, call, or mail your payment information to Frank Glazier Clinics.