The clinic consists of 6 one-hour sessions on the following Sundays: Jan 4, Jan 11, Jan 18, Jan 25, Feb 1, and Feb 15. (Note: Feb 22 will be reserved as a "make up" session if needed) Registrants will be added to the clinic roster once payment is received. Please submit prompt payment as spaces are limited. All proceeds from the Nazareth Softball Winter Youth Clinic supports the high school players' trip to Myrtle Beach for spring training.
Thank you for your support!

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* 1. Athlete's Name?

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* 2. Athlete's age as of January 1, 2026 --
-- PLEASE NOTE: AS OF 11/21/2025, SESSION #2 (AGES 10-12) IS FULL !!!

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* 3. Athlete's Home Address

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* 4. Parent/Guardian's Name

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* 5. Parent/Guardian's Phone Number?

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* 7. Emergency Contact Name?

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* 8. What is the emergency contact's relationship to the athlete?

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* 9. Emergency Contact Phone Number?

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* 10. Shirt Size?

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* 11. Please indicate your method of payment for the fee of $150.

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* 12. I hereby certify that I am the legal guardian of the above named student athlete, and they are in good health and able to participate in all activities associated with the clinic. If emergency medical attention is required, I authorize medical treatment at my expense. Please type your full name to acknowledge:

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* 13. Medical Insurance Company:

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* 14. Medical Insurance Policy Number:

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* 15. Name of Insured:

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* 16. Any medical concerns the coaches should be aware of?

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