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:_________________________________
