Kensico Little League - (Valhalla, NY) - powered by LeagueLineup.com

Winter 2024 Softball Pitching Clinics

PLAYER INFORMATION

Please complete and submit to register for 2023 Girls Softball Winter Pitching Clinic.

Valhalla High School from 7 PM - 9 PM on 2/1, 2/8, 2/15, 3/1, 3/8, 3/15, 3/22, and 3/29. The cost is $150.

* First Name:

* Last Name:

* Street:

* City:

* State:

* Zip Code:

* Home Phone:

* Birthdate:

* Gender:

* Grade (As of Spring of 2023):

* Division (will be in Spring of 2023):

PARENT/GUARDIAN #1

* Firstname:

* Lastname:

* EMail:

* Home Phone:

Work Phone:

Cell Phone:

Comments:

PARENT/GUARDIAN #2

Firstname:

Lastname:

Email:

Home Phone:

Work Phone:

Cell Phone:

Comments:

MEDICAL/EMERGENCY CONTACT INFORMATION

* Emergency Contact:

* Phone:

* Relationship to Player:

* Insurance Carrier:

* Policy #:

WAIVER INFORMATION

I/We the parent/guardian of the above named candidate(s) for a position on a Kensico Baseball or Little League team, hereby give my/our approval to participate in any and all League activities. I/We assume all risks and hazards, incidental to such participation including transportation to and from the activities. I do hereby waive, release, absolve, indemnify and agree to hold harmless the local League, Little League Baseball, Incorporated, the organizers, sponsors, supervisors, participants and persons transporting my/our child/children to and from activities, for any claim arising out of any injury to my/our child/children whether the result of negligence or for any other reason to the extent and in the amount covered by accident or liability insurance. I agree to return upon request the uniform and other equipment issued to our child/children in as good a condition as when received except for normal wear and tear. I will furnish a certified birth certificate of the above candidate(s) to the League Officials.

PLEASE MAKE CHECKS PAYABLE TO "KENSICO LITTLE LEAGUE"

I/we agree with the above *

* indicates required fields