SSUSB Winter Clinic Series
Open to all softball players ages 5-13!
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Child's Name (First, Last) *
Child's Age *
Child's address (#, Street, Town, Zip) *
Sessions Attending *
T- Shirt Size
*Free with registration of all three sessions. Will be for sale to all others during registration!
Please rate your daughter's skill level in the following areas. This helps us place them in the right group! *
Still Learning
Knows/ Can do the basics
Excels
Throwing
Fielding
Hitting
Pitching (if applicable)
Does your child have any medical or physical conditions we should know about? *
Please include any significant allergies (ex: peanuts, latex), medical conditions (ex: asthma), or any physical conditions (ex: healing or recent injury).  Or, write "none."
Primary/ Emergency Contact Name *
Please give us the name of the parent or guardian who we can contact if we have any questions or if there are any updates or changes to our clinics with the weather.
Primary/ Emergency Contact Number *
Please give us the phone number of the parent or guardian who we can contact if we have any questions or if there are any updates or changes to our clinics with the weather.
Primary/ Emergency Contact Email *
Please give us the email of the parent or guardian who we can contact if we have any questions or if there are any updates or changes to our clinics with the weather.
Primary/ Emergency Contact Preferred Method of Contact *
How should we get in touch with you if we have questions or updates?
Do you give permission for us to post pictures/ videos of your child at our clinics on our Instagram page? *
Our handle is @salemstatesoftball.
Required
I understand the completion of this registration form is a commitment to attend the clinic. *
Required
I understand that payment will be due at the first clinic my daughter attends and will be required in full if registered for more than one clinic. I understand this payment is non- refundable. *
Required
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