2014 Women's Clinic
Please fill out this form if you would like to attend this years Women's Clinic. The Clinic will take place on July 25th at 6 pm at Finley Stadium. The price for participation is $40 for adults and $25 for students.

Required Fields in Bold

First Name
 
Last Name
 
Email Address
 
Number of Ticket Needed
 
Are you a student? (Must present valid UTC student ID at check-in)
 
Yes
No
Credit Card #
 
Expiration Date
 
Billing Address 1
 
Billing Address 2
 
City
 
State
 
Zip code
 
 
Phone Number
 
I understand that my credit card will be charged in accordance to the number of tickets indicated above at either the adult or student rate.
 
Yes
No
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