Youth Beep Baseball Clinic Interest Form

Youth Beep Baseball Clinic Interest Form

Come learn how to play beep (blind) baseball with members of the Boston Strong! Open to kids ages 5-18 with a visual impairment. Sign up for all the clinics you are interested in! We will reach out with more info.
Participant Name*

First NameLast Name
Email*
example@example.com
Phone*
Please enter a valid phone number.
Birth Year*
Address*

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Please Describe Your Disability*
Which clinic are you registering for?*

October 4 - WellesleyOctober 11 - AndoverOctober 18 - BostonOctober 25 - TBD
Emergency Contact and Phone Number*
Any additional info you would like to provide:
Should be Empty: