win within baseball_winter 2011 indoor clinic_ registration form
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8/3/2019 Win Within Baseball_Winter 2011 Indoor Clinic_ Registration Form
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Indoor Clinic
Sunday Nights 5:30 7:00pm
Sunday November 27
Sunday December 4
Sunday December 11
Sunday December 18
Martin Gym, St. Albans School
Ages 7 14
Cost $120 for all sessions
Before you can be a good baseball player, you have got to be a good athlete.
This winters indoor clinic will focus on movement patterns and drill sets
to help young players become athletic throwers and dynamic fielders.
Email [email protected] or call 202-409-4874 with any questions.
www.winwithinbaseball.blogspot.com
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WINTER INDOOR CLINIC
REGISTRATION FORM
PLAYER NAME _____________________________________ DOB_____________ AGE________
PLAYER ADDRESS_________________________________________________________________
CITY _________________________ _____________ STATE ________ ZIP ____________
PLAYER HOME PHONE _________________________
PARENT #1 NAME_____________________________ BEST PHONE #_____________________
PARENT #1 EMAIL _________________________________________________________________
PARENT #2 NAME ____________________________ BEST PHONE #_____________________
PARENT #2 EMAIL _________________________________________________________________
EMERGENCY CONTACT NAME *____________________________ PHONE _______________
(*should not be parent please)
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 Disclaimer
I/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 or St. Albans School be liable for any damages, includingwithout limitation, direct or indirect, special, incidental, moral or consequential damages, loss of
profits, opportunities or information or for expenses arising in connection with any servicesprovided.
PARENT NAME _________________________________ DATE ________________
PARENT SIGNATURE ______________________________________________________
Please sign and return this form with a $120 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