650 Xtreme VBC ~ All Skills Clinic
Player will need to complete this online form prior to attending our fall clinics.
WHO: Boys and Girls - 4th through 10th Graders
WHEN: Fridays, September 27, October 4, 11, 18 and 25 from 6:30pm - 9:00pm
WHERE: San Mateo High School - MAIN Gym
506 North Delaware Street, San Mateo, CA 94401
COST: $300.00 for all 5 clinics
$260.00 for 4 clinics
Individual / drop in sessions are welcome: $70.00 per clinic for 3 clinics or less
Payment can be made with PayPal via Friends & Family to
Player's Last Name
Player's First Name
Player's Date of Birth
please enter in format mm/dd/yyyy
2018-19 Club Team
Parent's Full Name
Parent's Email Address
Parent's Cell Number
please enter in format xxx-xxx-xxxx
Date of Participation
Friday, from 6:30pm - 9:00pm
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