NWC Performance Clinic

Please use the registration form below to register for the clinic. Registrations can be cancelled through May 2nd for a full refund minus processing fees. After that time, registration is nonrefundable.

Personal information

First name

Last name

Address

City

State

ZIP code

Phone

Registration information

Are you a student?

Yes

How will you be attending?

In-person

Virtual

Does the name and address on your card match the information provided above?

Yes

Card number

Expiration date

Security codeFor Visa, Mastercard, and Discover, the 3 digits on the back of your card.

For American Express, the 4 digits on the front of your card.

Total:

$60

This is the amount that will be charged to your credit/debit card