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SSUSB High School Prep Clinics
Open to all high school freshman, sophomores, juniors, and seniors!
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* Indicates required question
Email
*
Your email
Name (First, Last)
*
Your answer
Academic Year
*
Freshman
Sophomore
Junior
Senior
Home Address (#, street, town, zip)
*
Your answer
Sessions Attending
*
All Three Sessions ($75 and Free T-Shirt)
Sessions 1 and 2 ($50)
Sessions 2 and 3 ($50)
Session 1 ($30); January 12th, 1-3p
Session 2 ($30); January 19th, 1-3p
Session 3 ($30); January 26th, 1-3p
T- Shirt Size
*
*Free with registration of all three sessions! Will be for sale for all others during registration!
XS
S
M
L
XL
XXL
Please rate skill level in the follow areas. This helps form our groups!
*
Still Learning
Knows/ Can do the Basics
Excels
Throwing
Hitting
Fielding
Pitching (if applicable)
Still Learning
Knows/ Can do the Basics
Excels
Throwing
Hitting
Fielding
Pitching (if applicable)
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."
Your answer
Parent/ 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.
Your answer
Parent/ Emergency Contact Number
*
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.
Your answer
Parent/ Emergency Contact Email
*
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.
Your answer
Parent/ Emergency Contact Preferred Method of Contact
*
How should we get in touch if we have questions or updates?
Email
Text Message
Do you give permission for us to post pictures and videos of you or your child participating in our clinics on our Instagram page?
*
Our handle is @salemstatesoftball
Yes
No
I understand the completion of this registration form is a commitment to attend the clinic.
*
Yes
I understand that payment will be due at the first clinic I or my daughter attends and will be required in full if registered for more than one clinic. I understand this payment is non- refundable.
*
Yes
A copy of your responses will be emailed to the address you provided.
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