Host Your Own Clinic Form

Refer to the Host Your Own Clinic Information Sheet for instructions on setting up your clinic and a list of clinicians.  Once your clinic details are confirmed (note-you do not need to confirm a clinician before submitting this form – Marilyn can work with you on confirming a clinician), use this form to send your Club-sponsored Clinic information to Marilyn for approval. Contact Marilyn with any questions.


NOTE:  Please do not send Clinic requests/notifications through this page for the 2018/2019 season until AFTER September 1, 2018.