Pre-Register Today Registration For:* 2021 Summer Clinic | Grades 6-8th | Aug 9-11 2021 Summer Clinic | Grades 6-8th | Aug 12-13 2021 Summer Clinic | Grades 9-11th | Aug 23-27 Parent/Guardian's Name* First Last Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Email* Enter Email Confirm Email Participant's Name* First Last Date of Birth* MM slash DD slash YYYY Age*Please enter a number from 8 to 19.Gender* Male Female T-Shirt SizeYouth SmallYouth MediumYouth LargeYouth X-LargeYouth XX-LargeExtra SmallSmallMediumLargeX-LargeXX-LargeSchool*CAPTCHANameThis field is for validation purposes and should be left unchanged. ** IMPAC Performance reserves the right to move dates, locations, and time in order to make up sessions. **