Championship Softball Academy
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LESSON FORM

PARENT'S NAME: _____________________________________________________________

PLAYER'S NAME: __________________________________________AGE:_______________

School attending:_______________________________________________________________

ADDRESS:_____________________________________________________________________

PHONE:______________________________CELL#:____________________________________

EMAIL :________________________________________________________________________

Please be aware that you MUST call/text me the day before if you CANNOT make the scheduled appointment. Failure to do so will result in FULL payment of lesson. Continued cancellations will result in reevaluation of lessons.  

I, we, the undersigned, waive, release and forever discharge Championship Softball Academy, Robin Payne and her staff and assign of and from all rights and claims for damages, injury, or loss to person or property which may be sustained or occur during participation in lesson whether or not damages, injury or loss is due to negligence.

I, the undersigned certify that _________________________________ is physically qualified to participate.

_______________________________________________________________________________

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