Apply Now Clinics & Special Events Host a Josh Lylons Clinic Clinic Host ApplicationComplete and submit with your first and second choice date requests. A Lyons Legacy team member will contact you to choose a date.Name(Required) First Last Facility Name(Required) Facility Address(Required) Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone(Required)Email(Required) Clinic Start Date(Required) MM slash DD slash YYYY First ChoiceClinic Start Date(Required) MM slash DD slash YYYY Second ChoiceDesired Clinic Format(Required) 3-Day Clinic 5-Day Clinic Facility Photos(Required) Drop files here or Select files Accepted file types: jpg, png, jpeg, jpg, Max. file size: 3 MB.
