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.

_______________________________________________________________________________

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