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Baseball Clinic Registration Form
October 2nd & 3rd 2021
Grace Presbyterian Church Baseball Field 5 Bell Road Montgomery, Alabama
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Name of Camper:
Your answer
Age of Camper:
Your answer
Birth Date:
MM
/
DD
/
YYYY
Does the Camper have any Allergies the Coaches need to be aware of?
Yes
No
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If so, Explain:
Your answer
Name of Parent or Guardian:
Your answer
Phone Number for Parent or Guardian:
Your answer
Email Address for Parent or Guardian
Your answer
Home Address of Parent or Guardian
Your answer
Expectation of days the Camper will attend the Clinics--- Check all that apply:
Saturday, October 2nd
Sunday, October 3rd
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