SVHS Baseball Sports Clinic Registration Form

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* 1. Player name:

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* 2. Date of birth:

Date / Time

Date

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* 3. Grade in Fall 2026

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* 4. Position Played

Outfield

Infeild

Catcher

Pitcher

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* 5. Any Allergies we should know about

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* 6. Please list any injuries, health issues, or activity limitations:

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* 7. Parent/Guardian 1 name:

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* 8. Parent/Guardian 2 name:

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* 9. Primary contact email:

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* 10. Primary contact phone number:

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* 11. Address:

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* 12. Authorize Treatment of a Minor, In the event that I cannot be reached in an emergency, I hereby give consent to treat my child from a licensed physician and/or hospital care as deemed necessary for my child's safety and health. I understand that costs accrue will be my responsibility.

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* 13. Clinic

Little League

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* 14. What Little League are you affiliated with?

Scotts Valley

Santa Cruz

San Lorenzo Valley

Other

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* 15. Payment

Zeffy (https://www.zeffy.com/en-US/ticketing/svhs-baseball-little-league-clinic-february-7--2026)

Cash

Check