HDUB VBA | Grades 3-5 | October & November Clinics

HDUB VBA | October & November Clinics| Grades 3–5

Join HDUB VBA | The Hannah Werth Volleyball Academy

At The Salvation Army Gym

Complete one registration per athlete

Select any or all of the clinic dates below

Clinic Details

Grades: 3rd–5th
Dates: Select from available options below
Session time: 8:00–9:30 AM
Length: 90 minutes
Price: $50 per athlete, per clinic
Payment: Full payment is due at checkout to secure a spot.
Payments are non-refundable.
Location: The Salvation Army 1600 E. Clear Lake Ave Springfield, IL
Payment Options: To help with budgeting, you can register & pay for one clinic date at a time and return later to register for more dates, subject to availability. Or you can select up to 4 clinic dates in a single checkout and pay in full with a single checkout.

I have reviewed Clinic Details

Athlete & Parent Information

Athlete's first name

Athlete's last name

Current grade

3rd

4th

5th

Athlete's school

Athlete's club program

Parent/legal guardian's first name

Parent/legal guardian's last name

Parent/legal guardian's email address

Parent/legal guardian's mobile number

Emergency contact's full name

Emergency contact's phone number

Register for Upcoming October & November Clinics

• Select Register for each clinic athlete would like to attend.

• All sessions below are for grades 3–5 from 8:00–9:30 AM.

• You must select Register for at least one date to complete your registration.

You may return to this form later to register for additional clinic dates subject to availability.

Full payment is due at checkout for the clinic dates you select.

Select Clinics

Sat Oct 10 — Fist Contact Foundation$50

Sat Oct 24 — Attack & Net Play Education$50

Sat Nov 14 — First Contact & Defense Application$50

Sat Nov 21— Attack IQ & Transition Play$50

General Waiver

Have you completed the HDUB VBA General Waiver for this athlete through the website?

Yes

I'm not sure

After registration is submiited, you will get a confirmation email. If you haven't completed the HDUB VBA General Waiver yet, the direct link will be provided in that email.

Acknowledgment & Next Steps

I understand that submitting this registration form doesn’t replace the HDUB VBA General Waiver. If I haven’t completed it for this athlete, I agree to complete it using the link in my confirmation email. I understand that payment is required at checkout.