ALL PRO SPORTS CENTER BASEBALL CENTER OF EXCELLENCE REGISTRATION FORM SESSION ONE: WEEK COMMENCING 26TH OCTOBER 2015 Soccer & Sports Club LLC ALL PRO SPORTS CENTER BASEBALL CENTER OF EXCELLENCE Last Name:_____________________First Name:____________________ MI:____ SESSION ONE: WEEK COMMENCING 26TH OCTOBER 2015 Address:_____________________________________________________________ _____________________________________________________________ We would like to invite you to sign up for the Center of Excellence Baseball Program, at the All Pro Sports Center, on the West River Road, Waterville. I wish to attend Thursday: 4.30-6.00pm or 6.00-7.30pm session, Saturday: 8.00-9.00am or 9.00-10.30am Come and play on the next generation of turf indoor field. The programs are for Baseball players who wish to practice throughout the winter months once a week. The programs will take you to the next level of play, concentrating on playing at a higher level, individual technique work, and offensive and defensive specialization. The programs are for ages 4 to 13+ years of age, Places are limited so reserve your slot as soon as possible. Phone:________________________ The program is in increments of either 6 or 8 weeks from week commencing: 29TH October to April 2016. Father’s/Guardian Name: ______________________________ Phone:___________ Thursday: Pitchers & Catchers Clinic: 4:30pm - 6:00pm: 8-13+ yrs OCT – JAN 2016) Due to Holidays Throwing, Fielding, Hitting Offensive/Defense Strategy & Base Running Clinic: 6:00pm – 7:30pm 8 – 12yrs (29th OCT – 7th JAN 2016) Saturday: First “Hit” T-Ball (intro): 8.00am – 9.00am: 4 – 6 yrs (29TH 7th (31st OCT – 5th DEC 2015) (Advanced) Throwing, Fielding, Hitting, Defensive/Offensive Strategy, Mental Side of Baseball): 9.00am-10.30am 13yrs and older (31st OCT – 19th DEC 2015) DOB ____________ Age_________ School:________________________________ Current Grade:________________ Mother’s/Guardian Name: _____________________________ Phone:___________ Email Address: _______________________________________________________ List any medical problems/conditions or Prohibitions:_________________________ Person to notify in an emergency:_____________________ Phone: _____________ IMPORTANT: I, the parent/guardian of the registrant, a minor, agree that I and the registrant will abide by the rules of the All Pro Sports Center (APSC). Recognizing the possibility of physical injury associated with baseball and in consideration for APSC accepting the registrant for this soccer program, I hereby release, discharge and/or otherwise indemnify APSC, its affiliated organizations and sponsors, their volunteers, their employees and associated personnel against any claim by or on behalf of the registrant as a result of the registrant’s participation in the program. The cost is $150 for 8 sessions 8 years upwards (8 weeks). $65 for 6 weeks for 4 – 6 year olds (Please note this fee is non-refundable as you are taking a limited number of places and committing to the program) Parent/legal Guardian (please print): ______________________________________ PLEASE NOTE: Also any returned checks will be subject to $25 administration charge Consent for Medical Treatment (minor) As the parent/legal guardian of the registrant, I hereby give consent for emergency medical care prescribed by a duly licensed Doctor of Medicine or Doctor of Dentistry. This care may be given under whatever conditions are necessary to preserve the life, limb or well being of my dependent. Signature of parent/legal guardian: _____________________________________ PLEASE NOTE: NO REFUNDS FOR SNOW DAYS OR NON-ATTENDANCE For further information please visit our website: www.allprosportscenter.com. Alternatively, if you have any queries, please do not hesitate to contact us at office@allprosportscenter.com, or on 207-877-6666. Keep this part and put on your notice board!! ↑ Signature: _______________________________ Date: ______________________ ↑ Send this part and the fee to the “All Pro Sports Center”, 161, West River Road, Waterville, ME 04901