Softball Free Clinic Registration
Please fill out this form to register for the free softball clinic.
Participant's Full Name
*
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Date
Participant's Email Address
*
example@example.com
Participant's Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Guardian's Full Name (if participant is under 18)
First Name
Last Name
Guardian's Email Address
example@example.com
Emergency Contact Name
*
First Name
Last Name
Emergency Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Medical Conditions or Allergies (if any)
How did you hear about this clinic?
Please Select
School
Friend or Family
Social Media
Community Center
Other
By signing this waiver, I accept all responsibilities associated to any injuries assumed during my child’s participation in the Softball Free Clinic on June 2nd from 6-7pm. I do not hold Stratford High School or Berkeley County School District responsible for any injuries that may occur while participating in the Softball Free Clinic.
Register
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