Champions is currently hosting a beginner and advanced fastpitch clinic series at Terrell Mill Park in Marietta.  This is a 3 week series that focuses on all the fundamental skills with throwing, fielding, hitting and base running.

When:  Saturday, November 5th, 12th, 19th

Time:  1:30 pm-4:00 pm

Cost:  $85.00

T-Shirt:  $12.00

*Deadline to register is Wed. November 2nd, all mail-in registrations must be postmarked by Nov. 2nd.  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:_______

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.