Championship Softball Academy |
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TEAM REGISTRATION FORM
PARENT'S NAME: _____________________________________________________________ PLAYER'S NAME: _______________________________________AGE:__________________ BIRTHDAY: ________________________________GRADE IN SCHOOL: _________________
POSITIONS: 1st Choice _______________________2nd Choice ________________________ ADDRESS:___________________________________________________________________ PHONE:______________________________ CELL# - Both parents: __________________________________________________________ EMAIL :______________________________________________________________________ T Shirt Size; ____________________ Preferred #: ____________ 2nd Choice: ______________ Do you have a pitching/hitting Coach? Who? _________________________________________ PLEASE CHECK APPROPRIATE BOX: TEAM: 10U/12U 14U ____________________________________________________ SEASON: Fall.Spring. Summer _______________________ Amount Paid:__________________ TOTAL AMOUNT PAID: ________________________ (cash / check # __________________) I, 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 clinic activity or while at the clinic, whether or not damages, injury or loss is due to negligence. I, the undersigned certify that _________________________________ is physically qualified to participate. _______________________________________________________________________________ parent signature / date |
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