JFIFC    $ &%# #"(-90(*6+"#2D26;=@@@&0FKE>J9?@=C  =)#)==================================================" }!1AQa"q2#BR$3br %&'()*456789:CDEFGHIJSTUVWXYZcdefghijstuvwxyz w!1AQaq"2B #3Rbr $4%&'()*56789:CDEFGHIJSTUVWXYZcdefghijstuvwxyz ?W'/Tv^Z\.(ԧt,@c]6;01s8Pºy8^vEG9֭VXRfQ#>@b ֨k(݀Uft[T1Ԭ03ߦ*7`vyҸ[Ͳ\\_+ ayjixMD^2AQjiIݡӵIDc;Tр[>5)U[b?J򢮤lȡS U~cR?jYG9=5xg 6rUdxQ iLJ[-mf <>E(3* My5SNo"#(G^~ǥsb/eJ|Vajۮs9 uxz\jbѥyҟq5H 6m`A~HNzczVGQMek,NKsWΆa"(=Ȩi#>W=-sqZ2j'*1^kZZFt| o 񞹬{+Qq,:ݴ$)@rw;Hƫvj\ IROF+̡bk 'kμIdl5@I?x3uVZ\Ā {PN=iqRGo5!\e; WAy`pz{KKi[3h SW@dxMs\)A`98#ڸrq]OωZ#nFF+c} ;Z }qv\hϖ 8}zf `S}+dž<)xֹR4Sp;F2}kgVs {5ua Y^zvafrw޸^%3.H*&$l֜`/&TpXޮ|X3ӬK8 efZ%0`>WN+gsX/$v@+=DE)YYz]Ұ+~ Jɹ8SJ|)ja#|`KO\m!Ow[hJ0:jٮ:N#HNjӼej0ypaaNE_6e;QcyZY>/d'sڬ# yx9%{7ıݼP@FDGp?^j6{b8^=k*ZLӍ&L<پN{ٱ\'Er`ƼƗQ`יK wNvv9q,eBӇ23s";9㈁f,Z; ]:;q[s+jp7FiˬPi!iDoWM N`;Uk$mpIvuyptlcpq?ҒiKbK+@'+e6mF:L Cy.;_DY º=6Ytq '3תMblާsE?hQZ\D:thу5δ[Z"!5H9 ^=|$RBDm´?u'а __S3qɭ- F+,1:zIbtkQ`7s'zcqG^\&~8 @ğ,l v%sr6W$r)XYE"?xV<7m$Y&SHJ˚9tFhKM6lM'gz#v* Zmn- x`$?L}%ͭ#1ڄ85g61%- @Io:~<,mu?Nkma vh(ǠѨ$s$cO5$[zLrY}櫩F[Vp3 sw5>yk{ |K { O@>YlN-Gܖ$M˟bC!'f%n+;ݍ>tR +tZRpcc}3Ҋ351Y2`w.sID9ֻT }* 2(ȧgR1CcϬutyÜN=+SOa -J >c; 9y7OpiwG{-6ۜ=9E:WCɵ6?*JiL@sɯd oOQEϥH0FXN:bu`&S=OIsޔsM gm⩴j. x# LJOWa~/#k'Mծ-zeOoN=OÚxWӯ0Ī8㨮;5&W 5躚xB1%c{ԶpJ~e#*3܎RSkIIQb;<ț׎*I'+#>?-Fu*ץ&2ih:gm!M|WО&ڛϊ;۽ FzQG9aXZȩ2LNN{R,@88@ J`{iR҄+\ij#\k8Ƨwk4)%"7.qB+#jgdkFjM c>˭yE><#%cU[ʓOUݍL̏6= "+iW/ X_ DTnl%P:4Տ;/׏?J]Ο#jt ?]м5woq3*,r+89n ;c=Sp2\qVtW(rH W0$T?p@SLry$t .҅WtaS\2ex_d\PiӦH)=G_JPXoᏕ_ ^+|=q$]]vy.!Ks^2A׫cj8A;>գgһ09&8#Ulա'ƫN&N9<@ WXpTb+Hx :r))<-u(UP9?0?IHr.> Reہ3P ,ppґP1x{F/du?q5Y\SY3׵@x8A aZh$2D$>ޕVU :J˃sL8llSjRvCО "H8qZ*(&Y6F'UXة5$qR3o_@*Wi X=V֜󨳆Po$ÓS0#PU`hƣ=L$lސJM(F2>T=*2@3jNFxL05GR3S̀ g5B ʰTho#\{ܩ# j;C;n{V{}<2G G5໓"<''hW*3JTaB6zSp3Ia \, x3HM,z}XEW?x 8銯Bˀ@'aHBk =3Pï_nzj@Ёcp8^}}p)'Rp+_G(%I>* (y :SA 4Z HA5棩@HUy *sQKubR_yPx+&=Nr/t?BthQQERн?:(1RcE0{EJ#ѾҊ*"$EMSnQR)l31颊2Z("MGJy\鳺ȹ@2w]E?$ҢXW@T~C?ZNg% 5DeO\kC)M*)!8>Z+3վs];,iEC\o{_#!2HOu\M-?1P枭ǸI&)EsIϧb T_52};dr&$)^ PWvd͵{%Ls~B 'Js [qr8gf]&ihU@ iYU;Fq*Kj5k{@R(}p*JRi+GRg\^e\j,]f8V^U[4#Ҵ?xRB^r^rvRss~oƷ-=5 TQE)t {3||)i?OVȉnYJrhǭ0|2ұctV!X ^hc֣'E֏x$\+چ~\*/% 'ފ+gŽrrp=+>N$(jVg6±Iq+HC7\y>QP%_1מ$I#T(;?2j(PFp(B)9c {CYvaY$֊((\D|TFcJۄ$tQ@q4a( ;p8D +*gx|vв"l%vN뚊TX)i9QE,b?wZFȬC1 0H,`,qVQ 0:QENUۘd@?袊zE0xrgT}KGΡT%䳶Eouϋxz'}Wݩj,X xU_P3UX:rzյ7򤱰הCFԹ Ǹӓ砮Ɩ6#sMJ2v$:Z_5YYC#pA4'=h=(@Q@Q Sl#Rzc5'L|ȭAùsưwznI|WPp8Z)dai} 觯SQ}Kq->#MN K(¦zuY>!)Uɴy"ys-G44v4#<( 2HNcSrB' rJ|ZGa-,3Jv`M3SxMBV0NX3ָ-mJbKuķ2*8}*onⲹXx+y!WQDZ񞜗+,s,Wf|[>㽜#9pT,WNP=[׏5*n-R{RT6-tl7!rW2,tASm /'eB3\߅T4ܑ8J0溧mʹ _D2xnVfnޙ oU`=p;yk>^'Kt D_]CjGYVI 8?7?]HRp?&R\\i[.$}%<sֺџ4iڹw8`[+7%Eo!ynv,mα&ݜ: 95R !{Iw0?(G;ܒ35+S%!"x[3+ŏZVY&R7%G!bktfpq]:qrB%fuG[P3~5yzZ'l5Q4bkXHU-c'oV[4SPW=O`>X -#Ҭ8Ͳ+y~c4ą*.%˔ ]pߞ*φtiu;qB9 >@=ӵ?x˒i"DK6A*[^ËRAv98{\nj$ҥ]@8KPz1w4vG4t) 5;'J]ŲFc_SXK6-  }O'{tyQVv S$+:=$?ooDn>p Vm=I|+Kki|r>x7.J^$LHb灊+<g'OئsxE4-߈aŭJ夁BF3ے}{fo_7^ 5kU>@A8p?p"ɝK7)v_ǚHPKct$N?c5"$ /E B6޹˻'I<xn66GB:fAA9$ .7xEstimated Enrollment: Football Record: Other Sports Records: Example: Basketball, 12-0 Baseball 15-0, Track, 3 First Place 2 Second Place
Clinic Information
Preferred Clinic Dates
(Make Two Choices)
First Choice (Date):
First Choice Day(s) of the Week:
Second Choice (Date):
Second Choice Day(s) of the Week:
Nearest Airport Airport Name: Miles to Clinic:
Nearest Lodging Hotel Name: Miles to Clinic:
Please Choe the Type of Clinic You Would Like to Host Below *
(You Can Make More Than One Selection)