Fall Clinic 2014 Flier
WHO:
All girls interested in softball, grades 4-8
WHAT:
Skills clinic on hitting, bunting, throwing, infield/outfield and base running
WHEN:
SATURDAY, SEPTEMBER 27th
Please bring:
TIME:
9-11
WHERE:
Greenwood Park
GLOVE CLEATS WATER BAT (if available)
(Grades 4-6);
12-2
(Grades 7-8)
(If it rains, we will be at Medina High School – you will be notified via email)
COST:
$20/player
_______________________________________________________________ ____
MEDINA FASTPITCH Registration Form Athlete Name __________________________________________ Grade Parent/Guardian Names _________________________________ Emergency Contact Information
Shirt Size
YM
4
5
6
7
8
YL
AS
AM
AL
AXL
*Registration MUST be received by Friday, September 19th to receive a t-shirt.
Name: ________________________________________ Name: __________________________________ Phone: (_____________) _________________________
Phone: (_____________) ____________________
Please provide an email address, as we will notify you of any changes due to weather or enrollment via email. Thank you!
Please write neatly!! Email: _____________________________________________________ Medical Waiver "I hereby give Medina Fastpitch, Medina City Schools, the City of Medina and officers and coaches of the Medina Girls Softball Association my consent to use their best judgment in applying/securing medical aid and/or emergency medical service in case I can’t be reached. I hereby attest that my daughter is physically able to participate in all aspects of the camp. I hereby waive the Medina High School Coaching Staff, the Medina City Schools, the City of Medina, employees of the City of Medina, the Medina Girls Softball Association and coaches and officers of the Medina Girls Softball Association from any and all liability for injury/accident incurred while participating, traveling to and/or from the clinic, or while on City of Medina and Medina City Schools property."
Parent/Guardian Signature ______________________________________ Any medical conditions we should know about concerning your daughter? Y
Date ____________________________________ N (If yes, please explain in the space below.)
PLEASE MAKE CHECKS PAYABLE TO: Medina Boosters RETURN FORM: MEDINA ATHLETIC DEPATMENT c/o Jessica Toocheck 777 East Union Street
Medina, OH 44256
All girls interested in softball, grades 4-8
WHAT:
Skills clinic on hitting, bunting, throwing, infield/outfield and base running
WHEN:
SATURDAY, SEPTEMBER 27th
Please bring:
TIME:
9-11
WHERE:
Greenwood Park
GLOVE CLEATS WATER BAT (if available)
(Grades 4-6);
12-2
(Grades 7-8)
(If it rains, we will be at Medina High School – you will be notified via email)
COST:
$20/player
_______________________________________________________________ ____
MEDINA FASTPITCH Registration Form Athlete Name __________________________________________ Grade Parent/Guardian Names _________________________________ Emergency Contact Information
Shirt Size
YM
4
5
6
7
8
YL
AS
AM
AL
AXL
*Registration MUST be received by Friday, September 19th to receive a t-shirt.
Name: ________________________________________ Name: __________________________________ Phone: (_____________) _________________________
Phone: (_____________) ____________________
Please provide an email address, as we will notify you of any changes due to weather or enrollment via email. Thank you!
Please write neatly!! Email: _____________________________________________________ Medical Waiver "I hereby give Medina Fastpitch, Medina City Schools, the City of Medina and officers and coaches of the Medina Girls Softball Association my consent to use their best judgment in applying/securing medical aid and/or emergency medical service in case I can’t be reached. I hereby attest that my daughter is physically able to participate in all aspects of the camp. I hereby waive the Medina High School Coaching Staff, the Medina City Schools, the City of Medina, employees of the City of Medina, the Medina Girls Softball Association and coaches and officers of the Medina Girls Softball Association from any and all liability for injury/accident incurred while participating, traveling to and/or from the clinic, or while on City of Medina and Medina City Schools property."
Parent/Guardian Signature ______________________________________ Any medical conditions we should know about concerning your daughter? Y
Date ____________________________________ N (If yes, please explain in the space below.)
PLEASE MAKE CHECKS PAYABLE TO: Medina Boosters RETURN FORM: MEDINA ATHLETIC DEPATMENT c/o Jessica Toocheck 777 East Union Street
Medina, OH 44256
