Raider FastPitch Winter Clinic 2/8/2020
Registration Form
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Player First Name *
Player Last Name *
Player Age *
Player Current School
Grade *
Clinic Session Attending *
Parent's Name *
Parent's email *
Parent's Phone # *
Food Allergies *
Emergency contact info: Name *
Emergency contact info: Relationship *
Emergency contact info: Contact # *
I hereby authorize the clinic coaches to act for me in the event of a serious emergency (requiring medical attention). I hereby waive and release the clinic, its directors, managers, coaches and lessees of the premises used to conduct the clinic from any and all liability for injuries and illnesses incurred while attending clinic. In addition, I certify that my child is in good health and is able to participate in all program activities. Furthermore, in the event of an emergency requiring medical attention, I shall pay for the services rendered. *
CHECK IF Riverwood Fastpitch is granted permission to use players likeness in a photograph, video, or other digital media for camp promotion. *
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