APPLICATION


Players Name:___________________________________________



Telephone:______________________________________________


Address:________________________________________________


City:___________________________________________________


State:______________________Zip:_________________________


Clinic Attending:__________________________________________



                        MAIL APPLICATION AND PAYMENT TO:

                                            CLUTCH HITTERS
                                      10327 Colorado Circle South
                                                Bloomington MN
                                                        55438

                                MEDICAL RELEASE FORM


I/We the parent(s) / guardian(s) of the above mentioned minor child, hereby give my/our approval to his or her participation in the Clutch Hitters clinic/ or training. i/We assume all risks and hazards incidental to such participation: and I/We do hereby waive, release, absolve,indemnify, and agree to hold harmless Clutch Hitters clinic, the organizers, the sponsors, participants, of the clinic activities for any claim arising out of an injury to my/our child to the extent covered by accident or liability insurance.


Date:____________________________________________


Signature:________________________________________


                           Emergency Phone Number

#1 Phone Number:_________________________________


#2 Phone Number:_________________________________