JEREMY CASEBEER CLINIC
Contact us at (559) 931-1100 or info@elitebeachvb.com with any questions.
Which Session Will You Attend *
ATHLETE INFORMATION
Please fill out information for ATHLETE not the parent.
Athlete's Name *
Your answer
Athlete's Cell Phone
Your answer
Athlete's Email *
Your answer
Athlete's Birthday *
MM
/
DD
/
YYYY
PARENT/GUARDIAN INFORMATION
Parent's Name *
Your answer
Parent's Cell Phone *
Your answer
Parent's Email Address *
Your answer
I understand that my athlete's registration is not confirmed until it is paid in full. Payment can be made in one of three ways: Venmo (@MichaelDeRaffaele), Cash App ($EliteBeachVB), or via our online store. Please select payment method below. Payment is due immediately, if you choose credit card we will send you an invoice to the email address you listed above. Thank you! *
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