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Winter Fastpitch Clinic Registration

Player Name: *
Address: *
City: *
State: *
Zip: *
E-Mail Address: *	Please enter e-mail address again
Day Time Phone: *
Evening Phone: *
Date of Birth mm/dd/yy: *
Fall Grade: *
Parent/Guardian Name: *
Volunteer: *	Head Coach Assistant Coach Volunteer for Committee Other
November 4th :	Attending Not Attending
November 11th:	Attending Not Attending
November 18th:	Attending Not Attending
December 2nd:	Attending Not Attending
December 9th :	Attending Not Attending
December 16th:	Attending Not Attending
December 30th :	Attending Not Attending
January 6th :	Attending Not Attending
January 20th :	Attending Not Attending
January 27th :	Attending Not Attending
February 3rd :	Attending Not Attending
Frbruary 17th :	Attending Not Attending
February 24th :	Attending Not Attending
March 3rd - Middle School:	Attending Not Attending
March 10 - Tryouts for traveling season:	Attending Not Attending
March 17th - Backup date for traveling tryouts:	Attending Not Attending
March 24th :	Attending Not Attending
March 31st :	Attending Not Attending
Comment:
* = Required field

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