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Strike Three Baseball Registraion

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DaveAdam5@yahoo.com
203-668-7649

Registration Form

Make check payable to Strike Three Baseball L.L.C.
Mail registration form and check to:

David Adam
82 Berwick Road
Berwick, ME 03901

Questions? Call 207-698-4832 or e-mail DaveAdam5@yahoo.com


One on One Packages with David Adam
Circle One: 1 Star
$175.00
2 Star
$350.00
3 Star
$550.00
       
Name: 
Age: 
Phone: 
Address:
 
 
 
City, State, Zip: 
Emergency Contact:
with phone numbers
 
 
 
 
I certify that the above named person is medically able to participate in the Strike Three Baseball clinic and I will assume all responsibility for any medical expense that may occur as a result of participation in the camp. I hereby release, Strike Three Baseball, its operators, agents, and advisors from any and all claims of injury or damage that may be sustained by use of premises, equipment, or from participating in physical excerices. I also authorize the use of video cameras stricly for the use of analysis of pitching, fielding, and hitting mechanics.
Signature: 
Date: 

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