sunday winstruction clinic_registration form
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Sunday WINstruction Clinic
Sundays 4-5:30PM
April 3 June 5 (excluding April 24, May 29)(weather permitting)
Satterlee Henderson Field, St. Albans School
Ages 9-12
Cost $20 per session - OR - $140 for all 8 sessions
Skill Development Focus Areas
Throwing proper arm action and careHitting dynamic fundamentals and controlled power
Fielding basic instruction and instinctual playPositioning breakout stations for pitching, catching, infield and outfield
Pitching arm care and mechanical efficiency
Featured Instructors
Jason Larocque:
Head Coach St. Albans School, Executive Director Win Within BaseballTBD
www.winwithinbaseball.blogspot.com
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SUNDAY WINstruction CLINIC
REGISTRATION FORM
PLAYER NAME ________________________________________ DOB_________________
PLAYER ADDRESS_________________________________________________________________
CITY _________________________ _____________ STATE ________ ZIP ____________
PLAYER HOME PHONE _________________________
PLAYER POSITIONS _______________________________________________________________
PREFERRED INSTRUCTIONAL FOCUS _______________________________________________
PARENT #1 NAME_____________________________ BEST PHONE #_____________________
PARENT #1 EMAIL _________________________________________________________________
PARENT #2 NAME ____________________________ BEST PHONE #_____________________
PARENT #2 EMAIL _________________________________________________________________
EMERGENCY CONTACT NAME ____________________________ PHONE _______________
RELATION TO PLAYER _____________________________________________________________
Program Philosophy
Win Within Baseball was created with the idea of serving the athletic, social, anddevelopmental needs and aspirations of local baseball players and their families. Program goalsinclude the development of young athletes as competitors and productive members of theircommunity. Winning is important, but teaching lessons about accountability, responsibility,
team-building, sacrifice, and selflessness will be a strong focus of our instructors and programs.
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Waiver of Liability and DisclaimerI/we know that participation in the sport of baseball may result in serious or deadly injuries andprotective equipment does not prevent all injuries to players. I/we hereby waive, release, absolve,
indemnify and agree to hold harmless Win Within Baseball, the organizers, participants, andcoaches from any claim arising out of the injury to my/our child whether the result of negligenceor any other cause. In the event of an emergency where medical treatment is needed and I/we areunreachable, I give permission to the coaches/instructors to secure proper treatment and medicalcare for my child.
In no event will Win Within Baseball be liable for any damages, including without limitation,direct or indirect, special, incidental, moral or consequential damages, loss of profits,opportunities or information or for expenses arising in connection with any services provided.
PARENT NAME _________________________________ DATE ________________
PARENT SIGNATURE ______________________________________________________
Please sign and return this form with a $140 check made payable to Win Within Baseballto reserve your clinic spot. Forms can be mailed to:
Jason LarocqueSt. Albans School
Mount Saint Alban NWWashington, DC 20016
Questions? Email [email protected] or call 202-409-4874.
www.winwithinbaseball.blogspot.com