Bethany Softball Camp Registration

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Email address *

First Name *

Last Name *

Address *

Phone Number *

High School

Grade *

Travel Team

Position

Dietary Restrictions

Method of Payment ($40) *

Cash Check

Please mail a check payable to "Bethany College Softball" with the player's name attached to:

Bethany College Softball
Softball Coach - Cassie Moore
31 East Campus Drive
Bethany, WV 26032

* Fees may also be paid on the day of the clinic

Other comments/needs/medical concerns

General Release: I hereby release and waive any possible claim against Bethany College, Bethany Volleyball and its staff, and any other persons associated with the clinic or any and all damages, injuries, and/or lose of equipment that my child may sustain in the course of the program or while traveling to or from the clinic.

ELECTRONIC SIGNATURE

Parent/Guardian Full Name *

Date *

* required field