
Champions Pre-Season Training at Terrell Mill
This
camp will focus on the fundamentals of all softball skills as well as
advancing on our November camp series with elite skills such as slapping,
diving, sliding, and much more. We will also be offering an option for
pitching or catching for beginners and advanced catchers and pitchers.
All Skills Clinic
February 18th, 2006
12-4:00
February 25th, 2006
12-4:00
Cost: $90.00
*Deadline to register is Wednesday, February 15th, all mail-in
registrations must be postmarked by Feb. 15th. Late registration
fee: $20.00.
Please fill out the registration form below make checks
payable to Champions Fastpitch Academy and mail to:
Champions Training Center
505 Commerce Park Dr., STE I
Marietta, GA 30060
Registration
Name:_____________________
Age:_______Sessions:_______
Address:______________________
City:___________Zip:________
*E-Mail:________________ ___Phone (H)____________Phone
(Cell)____________
T-Shirt: S M L + $12 Sweatshirt:
M L + $35
Amount Paid:______ Check #______
Release
Consent to Medical and
Release of Liability
I
hereby permit my child to participate in the Clinics/Instructional sessions
offered by Stacy Tamborra and Champions Fast Pitch Academy, Inc. . By the
execution of this release I acknowledge and agree that all requirements,
directions, supervision and standards set by the directors of this program
shall be established for his/her benefit. The person enrolling for
Champions Fast Pitch Academy Clinics, Lessons, or Instructional Sessions,
his/her parents or guardians assume all risk of loss of property or injury
to the person, including injuries associated with softball activities,
speed, and/or strength camps. I agree that there are inherent risks
associated to softball participation and therefore agree to hold Champions
Fast Pitch Academy and its employees harmless and specifically agree not to
make any claim against Champions Fast Pitch for any of these injuries which
may be considered normal risk associated with participation in softball
activity.
I
hereby voluntarily assume all risk of injury, of any form, to my child,
which may arise out of his/her participation in this program, hereby
intending to release Stacy Tamborra and personnel associated with this
program from liability that may result from his/her participation. In
addition, I hereby give my permission for emergency medical treatment in the
event I cannot be reached.
Parent/Guardian
Signature_______________________Date__________
Print Athlete’s Name_________________________________
Insurance
Carrier__________________________________
Policy
Number________________________________
*Feel free to call the Champions office for any questions
or registration at 770-792-1091.
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