Player Clinic Sign Up Form

Name:
Email Address:
Street Address:
Add'l Address Line:
City, State, Zip:    
Daytime Phone:
Emergency Phone:
Division Played last Season: Age:
 
Please Choose a Clinic:
 
  1 - Day Hitting Clinic - Dec. 27th   Cost: $65
   
 
1- Day Pre-Tryout Clinic - Dec. 27th   Cost: $65
   
 
 
 
Evening Phone:
Credit Card Number:
Credit Card Type: Visa      Mastercard    
Expiration Date:
Name exactly as it appears on Card:



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