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)
Credit Card #
Expiration Date
Billing Address 1
Billing Address 2
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.
How did you hear about the Women's Clinic?