MCLA Softball Clinic Registration

Email address *

Parent or Guardian (s) *

Mailing Address- Please include Street, City, State, and Zip Code *

Home Phone Number *

Emergency Contact and Phone Number *

Participant (s) Name *

Participant (s) Age *

Which Session are you registering for?? *

Feb. 14 (Pitching ONLY 12-1pm) Feb. 14 (All Day 12-3pm) Feb. 21 (Pitching ONLY 12-1pm) Feb. 21 (All Day 12-3pm) Feb. 28 (Pitching ONLY 12-1) Feb. 28 (All Day 12-3pm) All Dates and Sessions (Feb. 14, 21, 28)

Any Health Related Issues?? *

Allergies Diabetes Asthma Other None

* required field