Algonquin​ ​Girls​ ​Softball Youth Clinic

Join Varsity Coach Morcone, ARHS Coaches and Players

Wednesday, April 21st
9-11am Grades 2-5
12-2pm Grades 6-8

$20 per player.Please register each sibling separately.

Contact Coach Morcone with any questions: kmorcone@nsboro.k12.ma.us

• Player Name*
  Please complete separate forms for siblings.
• Birthdate*
  Date Format: MM slash DD slash YYYY
• Grade*
  2345678
• School*
• Parent Name*
• Cell Phone*
  For emergency contact.
• Email*
• Address*
  Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code
• Consent*
  I agree to the following waiver:
  I agree by enrolling my daughter that she is physically and mentally able to participate in all of the clinic activities. In case of medical emergency and I cannot be reached, I hereby give permission to the physician selected by the staff to hospitalize and secure medical treatment for the child. I understand that my medical insurance is expected to cover my child for injuries. I agree not to hold the ARHS Softball Clinic, its management and staff, and/or ARHS, its management and staff, responsible for any athletic, dental, or bodily injury that may occur to my daughter while attending Clinic.
• Please note any impairment which may affect your child’s participation:
• Number of Attendees
  Price: $20.00
• Total For Girls Softball Clinic
  $0.00
• How would you like to pay?*
  • Credit Card
  • PayPal

• If you chose to pay by Check: Please write the check out to ARHS Boosters for the amount listed above and mail it to:
  
  P.O. Box 303
  Northborough, MA 01532

• Credit Card
  American Express

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  MasterCard

  Visa

  Card Number Month010203040506070809101112 Year20212022202320242025202620272028202920302031203220332034203520362037203820392040 Expiration Date   Security Code Cardholder Name
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