Auditor's Name *

First Name

Last Name

Phone *

(###)

###

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Clinic Dates *

Saturday - $31.50 (taxes included)

Sunday - $31.50 (taxes included)

Weekend - $57.75 (taxes included)

Payment Options *

Credit Card - Preferred

E-Transfer - Shows@highpointec.com - must be sent the same day Entries are sent

Waivers - Mandatory *

Waivers can be found on the Health Protocol Page

Health Waiver

Site Waiver