COE REG Baseball Sess 1 2015-16

advertisement
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
Download