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Take the next step of development |
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Topics: Hitting,
fielding, throwing and specialty areas HOSTED BY: Northeastern HS BB Open to all Area Players |
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Dates: |
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Times: |
Saturday 12-5 pm
and Sunday: 12 - 5 pm |
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Ages: |
Groups divided by
ages 6-8, 9-10, 11-12, 13-&-Older |
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Location: |
Northeastern High School Baseball Field If rain: HS Gym |
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Tuition: |
Discount Rate - $85 Register by Apr 9 Regular Rate - $105
after Apr 9 |
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Special Notes: |
Bring your own bat
& glove. Bring tennis shoes
for indoor use Optional Chapel
Sunday at 11:30 am |
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For More info. call: |
Coach
Jason Johnson (717) 266-3676 For future seasonal and summer
academies, visit www.doylebaseball.com |
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DOYLE BASEBALL ENROLLMENT APPLICATION |
Please print & complete all sections. Use one application
per player. |
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Last Name:
________________________________________________________________________ First Name:
________________________________________________________________________ Street Address: _____________________________________________________________________ City ______________________________________________ State
___________ Zip __________ Home Phone ( )
___________________________________________________________________ Birth Date
_____/_____/_____ Parent E-mail address
_______________________(for future updates) Mother or Guardian Name (first
& last) ___________________________________________________ Mother’s Occupation
___________________________________
Work Phone ( )
_______________ Father or Guardian Name (first
& last) ____________________________________________________ Father’s Occupation
____________________________________ Work Phone ( ) _______________ How did you hear about Doyle
Baseball?
_________________________________________________ |
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ACCIDENT INSURANCE INFORMATION - MUST BE COMPLETED TO
ATTEND THE PROGRAM - All students must provide proof of insurance
coverage for any injury or sickness while attending Doyle Baseball. I waive
and release Doyle Baseball from any injury or illness incurred going to
school from home or while at school or returning from school to home. I
hereby give my permission for emergency treatment in the event I cannot be
reached. |
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PAYMENT INFORMATION |
Acceptance of Accident Insurance Disclaimer Above |
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____Check
____Cash ____Visa ____MasterCard ____AmEx |
Name of Insurance Co.
_____________________________________ |
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Card Number ______________________________________Exp._____________ |
Policy Number ____________________________________________ |
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Cardholder
Name____________________________________________________ |
Parent/Guardian Signature
__________________________________ |
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Signature__________________________________________________________ |
Student Signature
_________________________________________ |
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